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Research sites can improve the way they handle regulatory requirements and encourage more investigators to conduct research by making simple changes, an expert says.
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It might seem too daring to make changes to human subjects oversight programs by easing ethics review procedures. But several research organizations have found that some measured changes can help reduce investigators' regulatory burden without increasing risk to subjects.
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Increasing numbers of research institutions have opened offices to provide oversight of investigator-initiated clinical trials, but they often lack the basic tools needed for this process.
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The University of Pittsburgh in Pittsburgh, PA, has developed a thorough, review process that serves as an educational opportunity, as well as a way to prevent clinical research problems.
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Oncologists and medical directors say that 38% of their patients could benefit from participation in clinical trials, but only about 5% actually enroll in an oncology study per month, according to a recent survey.
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Each clinical trial administrator and investigator needs to understand the motivations of all parties involved including his or her own before beginning a clinical trial contract negotiation process.
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Preventing patient falls is a constant struggle for hospitals. And as Medicare has cut reimbursement for falls as a "never event" and patients are getting increasingly older and sicker, it will continue to be a challenge.
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When a dedicated nurse and a quality improvement consultant come together, beautiful things can happen. It starts with an idea, a problem that begs for a solution, and then the work on finding the answers begins.
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A combination of face-to-face and telephonic case management has resulted in high patient satisfaction ratings and a significant decrease in health care utilization for patients with complex medical needs.
