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Nurses are often the health care providers who know the most about a patient’s wishes for end-of-life care, but are sometimes left out of such discussions.
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As IRBs focus more on efficiency and streamlining, the chief concern involves maintaining the necessary elements while discarding or simplifying everything else. This delicate balance is especially true for streamlining informed consent documents.
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When it comes to training community partners on human research protection ethics, IRBs would do well to create educational content that best suits the needs of those partners, an IRB chair suggests.
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Accredited human research protection programs (HRPPs) are required to meet a seemingly simple standard that requires a quality improvement program to be focused on efficiency and compliance.
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Advancements in imaging technology mean a greater chance of detecting incidental findings in imaging research subjects. As IRBs turn their attentions to figuring out how to handle and manage IFs, some may not know where to begin or how to get their plans to the implementation stage.
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For some patients, enrolling in a clinical trial is not an option. They may meet exclusion criteria, or the nearest trial center may be geographically inaccessible, despite having a disease or condition that could benefit from investigational treatment. In such cases, the patients physician can request expanded individual patient access from the Food and Drug Administration. In dire situations, the physician can seek emergency use.
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IRBs working with community partners on non-medical studies need fresh tools, such as resourcefulness and imagination, when engaging in training and education.
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Complying with the Emergency Treatment and Labor Act (EMTALA) can be hard enough before court rulings give the rule a longer reach. Courts in Kentucky, Ohio, Michigan, and Tennessee have passed laws that make EMTALA applicable even after admission.
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Recent data from the Centers for Medicare and Medicaid Services (CMS) indicate that violations of the Emergency Medical Treatment and Labor Act (EMTALA) are on the rise. An EMTALA expert suggests there are several reasons:
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Patient sitters can be effective in reducing falls, and the savings can exceed the cost of the sitters. Hospitals should follow specific guidelines for a sitter program.
