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As Americans become increasingly accustomed to learning more about their own health, it's becoming more common for research participants to expect to learn about their personal results during a study.
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Adaptive design clinical trials raise many of the same issues in IRB review as do unplanned modifications to existing trials, says Marjorie Speers, PhD, executive director of the Association for the Accreditation of Human Research Protection Programs (AAHRPP) in Washington DC.
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With the creation of the Clinical and Translational Science Awards (CTSA) program, the goal of involving the community in research has drawn more support and interest.
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The Agency for Healthcare Research and Quality (AHRQ) has issued a notice about its expectations with the completion of grants awarded from the funding provided by the American Reinvestment and Recovery Act (ARRA). Among the key points:
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Drug theft is a vexing problem for any health care provider, but a health system in Texas is finding that the thefts can be on such a scale that federal investigators become interested and the community starts asking how the provider could have let the thieves continue for so long.
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The theft ring at Parkland Hospital in Dallas was discovered and self-reported to all appropriate agencies by Parkland's director of pharmacy services, Vivian Johnson, according to a letter the hospital sent to the State Board of Pharmacy.
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Wandering and elopement exist in all health care facilities, but long-term care facilities are at most risk because of the nature of the residents' conditions. Patients with Alzheimer's disease, dementia, autism, and others who cannot help themselves pose a high risk, no matter the setting.
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Background checks for criminal records or other questionable behavior should be a standard risk management strategy for all health care providers, and meeting minimum requirements is not the best way to go, say providers and experts in background screens.
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Pernille Ostberg, president of Matrix Home Care in West Palm Beach, FL, offers these tips for improving background checks on health care workers:
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Health information exchanges (HIEs), which support secure electronic sharing of patient health information among caregivers, patients, public health authorities, and health care and payment services providers across different setting and geographical areas, are among the most promising initiatives in health care, but there are privacy and security issues that should concern risk managers.
