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If you talk about giving patients a voice in how a hospital works and care is delivered, you will see many providers and administrators blanch with fear.
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The National Strategy for Quality, released to Congress at the end of March, is just the first iteration of reports required by the Patient Protection and Affordable Care Act to outline priorities and areas of focus for healthcare.
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A patient safety initiative in Ohio has led to health care savings of nearly $13 million, reduced patient days spent in the hospital by 900, and resulted in nearly 3,600 fewer adverse drug events and infections in children.
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In response to concerns raised about IRB review of genetic research, a group of investigators, ethicists and other stakeholders has surveyed genetic researchers and IRB professionals to discern what issues are complicating review.
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It's a well-accepted position in human subjects protection circles that in order to improve IRBs and their relationships with investigators, it's important to actually study IRBs how they work, how long it takes to do things, the knowledge and attitudes that members carry into discussions of various types of research.
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An overwhelming majority of research subjects with schizophrenia monitored over the course of a long-term medication study retained the capacity to give consent for research.
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All it takes is for an IRB member or investigator to experience those intrusive, evening phone calls about a new study enrolling people with their health condition to convince them that there must be a better way to approach potential research participants.
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Research institutions could improve recruitment data collection and efficiency, as well as make their IRBs happy, if they develop a standardized recruitment tool for use with new studies, an expert says.
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Research institutions that make it a goal to improve ethical conduct among staff, researchers, and students engaged in research should focus on providing better ethics education, developing sound policies & procedures, and leading by example, an expert says.
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While IRBs and researchers seem to agree on the most vexing issues in IRB review of genetic research, consensus still is elusive.
