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The default policy of many hospitals is to have clinicians perform cardiopulmonary resuscitation (CPR) on dying patients except when there is a do-not-resuscitate (DNR) medical order signed by the patient.
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Hospital ethics boards should take the lead in promoting greater intercultural understanding between clinical staff and patients, according to an expert. This begins with education focusing around cultural awareness.
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Ethical concerns and privacy regulations make for a more complicated situation when health care researchers desire to view patient records to find potential research subjects.
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A major obstacle to implementing process or quality improvement measures is finding out what the people impacted by the change think.
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IRBs continue to work toward streamlining the handling of multisite studies through alternative models of review. But they can sometimes struggle with a process that requires them to accept the review of another board in place of their own.
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A presidential commission has begun carrying out President Barack Obama's charge to review human subjects protections in U.S.-sponsored research both here and abroad, in the wake of revelations about unethical research carried out in Guatemala in the 1940s.
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As Washington University in St. Louis, MO, expanded its interest in community-engaged research (CEnR), officials realized that both the researchers and their community partners needed to better understand human subjects protection requirements.
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Many IRB offices have transitioned to completely electronic documentation and processes in recent years. This trend offers flexibility to IRB staffing and office space.
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Successful IRB members are developed, not born, according to an expert in research ethics.
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The new edition of a widely-used human subjects protection curriculum has an increased emphasis on community engagement and the importance of on-going informed consent, says one of its developers.