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Transitions of care have been a bugaboo of medicine for years. And the problem isn’t getting easier. With accountable care organizations and the increased emphasis on various spokes of the healthcare wheel being able to talk clearly across the radius to each other, it has become more and more important to find simple, proven ways to ensure that handing a patient from one part of the system to the other happens quickly, yet with all the pertinent information.
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Federal regulations require researchers to maintain an equitable selection of participants, and IRBs take this into consideration when reviewing study protocols. But what are the ethical implications when a study has difficulty recruiting or retaining subjects? From an IRB perspective, recruitment must not be coercive, but how can researchers ensure participants are truly willing volunteers in small studies that require a major physical commitment?
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Its a long-standing issue with IRBs: Studies are approved, participants are enrolled, study interventions and visits occur and someone complains. But then what?
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IRB Advisor asked Diana T. Chingos, MS, MFA, executive director of the Noreen Fraser Foundation in Los Angeles, to tell readers a little more about herself and her hopes and goals for the Secretarys Advisory Committee on Human Research Protections (SACHRP), to which she was appointed in October 2014.
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Blogs, message boards, and patient communities are being used not only by patients, but also by research participants. In some cases, this reveals whether or not a participant is taking actual medication or placebos, compromising the studys validity.
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The agencys Notice of Proposed Rulemaking (NPRM), released in November, expands clinical trial registration and reporting guidelines for clinical trials that are required to register with ClinicalTrials.gov under the U.S. Food and Drug Administration Amendments Act (FDAAA).
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Community-based participatory research (CBPR) brings members of the community into a study as partners who are involved with subject recruitment, study design, informed consent, and other aspects of research. Community partners can include tribal councils, religious organizations, neighborhood groups, and other social organizations.
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Military veterans who recently served in Afghanistan, Iraq, and other countries often return home with “invisible” healthcare needs that might be overlooked in community healthcare settings.
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Emergency providers determine whether to admit patients to the hospital every day, but a new study suggests that while many of these decisions are consistent and clear-cut regardless of region or hospital, for certain common, low-mortality conditions, some physicians are as much as six times more likely to admit patients than others.
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Prescription opioid misuse and abuse is an expensive and dangerous problem nationwide as injured workers stay on the drugs too long, hurting their recovery and dampening their motivation to return to work.
