The Myocardial Ischaemia National Audit Project (MINAP).
AIMS OF MINAP: To audit the quality of care of patients with acute coronary syndrome and provide a resource for academic research.
Feedback to hospitals, ambulance services and cardiac networks regarding benchmarking of performance against national standards and targets.


METHODS
All 230 acute hospitals in England and Wales. Years: 2000-present.


METHODS
Consecutive patients, unconsented. Current number of records: 735 000.


METHODS
Any acute coronary syndrome, including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction and unstable angina.


METHODS
123 fields covering demographic factors, co-morbid conditions and treatment in hospital. No blood resource.


METHODS
Manual entry by clerks, nurses or doctors onto Lotus Notes; non-financial incentives at hospital level.


METHODS
Hospitals perform an annual data validation study, where data are re-entered from the case notes in 20 randomly selected records that are held on the server. In 2008 data were >90% complete for 20 key fields, with >80% completeness for all but four of the remaining fields.


METHODS
All-cause mortality is obtained through linkage with Office for National Statistics. No other linkages exist at present.


BACKGROUND
Available for research and audit by application to the MINAP Academic Group. http://www.rcplondon.ac.uk/CLINICAL-STANDARDS/ORGANISATION/PARTNERSHIP/Pages/MINAP-.aspx.
Herrett
Emily
E
Department of Epidemiology and Population Health, Non-communicable Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, UK. emily.herrett@lshtm.ac.uk
Smeeth
Liam
L
Walker
Lynne
L
Weston
Clive
C
D054058:Acute Coronary Syndrome / Q000453:epidemiology / Q000628:therapy*; D019985:Benchmarking / Q000458:organization & administration; D035843:Biomedical Research / Q000379:methods; D004739:England / Q000453:epidemiology; D006761:Hospitals / Q000592:standards; D006801:Humans; D008485:Medical Audit / Q000458:organization & administration*; D011787:Quality of Health Care; D012042:Registries; D014852:Wales / Q000453:epidemiology