Hospital Management
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Identifiable Data Are Not What They Used to Be
IRBs and researchers should change their old habits when it comes to assessing studies for privacy and confidentiality. Researchers recently showed that de-identified data could be used to find a specific person. Using a mathematical model in databases of more than 200 populations, researchers found they could correctly re-identify 99.98% of Americans, using 15 demographic attributes.
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Tips for IRBs Reviewing Pragmatic Trials
Flexibility is needed when reviewing pragmatic clinical trials, which typically enroll a broader population of patients and might need more adaptable informed consent than traditional clinical trials. Researchers have raised questions about how pragmatic trials should be regulated and what IRBs should do to protect participants, but not discourage this type of research.
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Pragmatic Trials on the Rise as Data Collection Pushes Trend
Several recent changes are driving the pragmatic trial trend nationally, including acceptance from regulators and the growth of big data. Pragmatic clinical trials measure effectiveness of a study drug, device, or intervention on a wider range of people. Unlike clinical trials that exclude people based on health conditions and other criteria, pragmatic trials study a treatment’s effect on a group of people who are more representative of patients in clinical practice and the real world.
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Calls for IRB Transparency in a Closed-Door System
It is a common critical observation in human research that IRBs operate in a sort of “black box,” making decisions that could greatly affect a general public that remains largely oblivious of their role and function. This default ought to change toward transparency, both for the good of the research community and to be in line with the increasing calls for publishing research results, reporting all clinical trial data, and sharing consent forms, experts say.
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Update on National Certification for Individuals Who Perform Ethics Consults
The Healthcare Ethics Consultant-Certified program is a national standard that recognizes a consultant’s proficiency in identifying, counseling, and resolving ethical issues.
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Ethical Concerns if Patient at End of Life Is Intellectually and Developmentally Disabled
Adults with severe intellectual and developmental disabilities often present to EDs with complex medical needs. Their advance care directives are complex, too.
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Committee Tackles Ethical Issues in Psychiatric Genetics Field
According to one committee member, there is a lack of guidance about the responsible use of psychiatric genetics in clinical and nonclinical settings.
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Simulation Improved Pharmacy Students' End-of-Life Expertise
Groups of nursing and pharmacy students were exposed to either a case study approach in a classroom setting or simulated versions of the same cases.
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Be on Your Best Behavior: The Ethics Police Are on the Way
There are a few common scenarios involving ethics misconceptions.
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Interventions Aim to Promote Ethical Research Practices
Researchers tested the efficacy of a one-hour training session on psychology graduate students' attitudes toward ethically questionable research practices. Students who rated the training more favorably demonstrated greater attitude change toward detrimental research practices.