Aims of MINAP
To audit the quality of care of patients with acute coronary syndrome and provide a resource for academic research.
Quality of care interventions
Feedback to hospitals, ambulance services and cardiac networks regarding benchmarking of performance against national standards and targets.
All 230 acute hospitals in England and Wales. Years: 2000-present.
Consecutive patients, unconsented. Current number of records: 735000.
Any acute coronary syndrome, including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction and unstable angina.
123 fields covering demographic factors, co-morbid conditions and treatment in hospital. No blood resource.
Manual entry by clerks, nurses or doctors onto Lotus Notes; non-financial incentives at hospital level.
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.
Endpoints and linkages to other data
All-cause mortality is obtained through linkage with Office for National Statistics. No other linkages exist at present.
Access to data
Available for research and audit by application to the MINAP Academic Group. http://www.rcplondon.ac.uk/CLINICAL-STANDARDS/ORGANISATION/PARTNERSHIP/Pages/MINAP-.aspx.
Keywords: MINAP, registries, clinical audit, acute coronary syndrome, delivery of care