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Multicenter Study
. 2010 Aug;96(16):1264-7.
doi: 10.1136/hrt.2009.192328.

The Myocardial Ischaemia National Audit Project (MINAP)

Collaborators, Affiliations
Free PMC article
Multicenter Study

The Myocardial Ischaemia National Audit Project (MINAP)

Emily Herrett et al. Heart. 2010 Aug.
Free PMC article

Abstract

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.

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

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

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

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

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

Data quality: 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.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Map to show location of 366 487 STEMIs and non-STEMIs recorded in MINAP, 2003–2006. Source: 1991 Census: Digitised Boundary Data (England and Wales).

References

    1. Ed-Line Consortium 1991 Census: Digitised Boundary Data (England and Wales) [computer file]. ESRC/JISC Census Programme, Census Geography Data Unit (UKBORDERS), EDINA: (University of Edinburgh)
    1. Department of Health National service framework for coronary heart disease—modern standards and service models. London: Department of Health, 2000
    1. Rickards A, Cunningham AD. From quantity to quality: the central cardiac audit database. Heart 1999;82(Suppl 2):18–22 - PMC - PubMed
    1. Royal College of Physicians MINAP academic group. http://www.rcplondon.ac.uk/CLINICAL-STANDARDS/ORGANISATION/PARTNERSHIP/P... (accessed 30 September 2009).
    1. The Healthcare Quality Improvement Partnership HQIP National Clinical Audit. http://www.hqip.org.uk/ (accessed 30 September 2009).

Publication types

MeSH terms