Office of Human Research (OHR) Quality Improvement Program Patrick Herbison Heather Krupinski
Quality Improvement Program Investigator Site Audits Consent Observations Essential Documentation Binders Compliance Help Policies and Forms Website and Announcements
Investigator Site Audits Demonstrate Oversight Help Study Teams Random/For Cause Our Choice/Your Choice
IRB Submissions All IRB Submission documentation Approval Pages, Stamped Consents, OHR Forms
Consent Valid Consent for each Patient Signed, Dated and Documented Assent, Surrogate Consent, Short Form
SAE and UAP Reporting Serious Adverse Events Unanticipated Problems Must be reported in required timeframes
Data Confidentiality and Security Keep subject data confidential and secure Only record and share data as described in protocol Identifiable data should be in a locked cabinet in a locked room There is a list of 18 items that make data identifiable
18 Identifiers 1.Names 2.Addresses (smaller than a state) 3.Dates (except year, age – NOT DOB) 4.Phone Numbers 5.Fax Numbers 6. Addresses 7.Social Security Numbers 8.Medical Record Numbers 9.Health Plan Beneficiary Numbers
18 Identifiers 10.Account Numbers 11.Certificate/License Numbers 12.Vehicle Identifiers/Serial Numbers/License Plate 13.Device Identifiers/Serial Numbers 14.Universal Resource Locators (URLs) (Resource) 15.Internet Protocol (IP) Addresses (Device) 16.Biometric Identifiers (Fingerprints/Voice) 17.Full Face Images, Other Identifiable Images 18.Any Unique Identifying Number, Characteristic or Code
Examples RS, Age 47, Born 1965, PA RS, Age 47, Born Jan 1965, PA RS, Age 47, Born 1965, Smallville, PA (00020) RS, Age 47, Born 1965, PA, MR#
Example
Protocol: Sample will be identified with a code only Sub: 001 Pat Herbison Herpes Simplex 10
Consent Observations Reassurance that you are doing the consent process like (or better than) everyone else
Essential Documentation Binders
Compliance Help
Policies and Forms
Website and Announcements esearch.html esearch.html How to Submit to the IRB JeffTrial and Portal IRB Forms CITI – Training List Policy and Procedures Manual eSAEy and eazUP Contacts Rosters Newsletters Announcements IRB Schedule
Questions?