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IRB From Both Sides: ResearcherFaculty

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Send the agenda to researchers by email so that they know when their project will be reviewed ... to include teaching tools for researchers. virtual classroom, ... – PowerPoint PPT presentation

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Title: IRB From Both Sides: ResearcherFaculty


1
IRB From Both Sides Researcher/Faculty
Research Administrator
  • Jacqueline E. Poore, C.I.P.
  • Coordinator,
  • Committee Review and Compliance
  • Rhode Island Hospital, Providence, RI

2
  • The Lifespan healthcare system
  • Rhode Island Hospital
  • The Miriam Hospital
  • Bradley Hospital
  • Newport Hospital

3
  • The Lifespan Office of Research Administration
    (ORA) is responsible for the oversight of all
    research operations that is performed by Lifespan
    personnel or conducted within Lifespan
    facilities.

4
The main areas of responsibility within the
Office of Research Administration are
  • Grants and Contracts (pre and post award)
  • Committee Review
  • Research Finance (research accountants)
  • Central Research Facilities (animal facilities
    and Core services such as electron microscopy)

5
The Lifespan Office of Research Administration
Research Committee Review
  • Responsible for the administration of 6 review
    committees.
  • 3 IRBs (RIH IRB panels 1 2, TMH IRB)
  • Animal Welfare Committee (IACUC)
  • Recombinant DNA Committee (IBC)
  • Biohazards and Laboratory Safety Committee

6
IRB division of responsibilities
  • In addition to reviewing projects that are
    conducted on their respective campuses,
  • The RIH IRBs review all new Lifespan pediatric
    studies and projects conducted at Bradley
    Hospital.
  • The TMH IRB is constituted to review any protocol
    that proposes to use prisoners, and is also the
    IRB for Newport Hospital.

7
Cooperative Review
  • Under an IRB authorization agreement
  • Either IRB can review new applications for the
    other institution.
  • Reduces duplication of effort when projects are
    to be conducted at multiple Lifespan sites.

8
The IRBs are not interchangeable
  • Once a project has received an initial review
    by one of the IRBs, all future actions including
    continuing reviews and revisions to protocol must
    be reviewed by the IRB of record.

9
Office Statistics
  • 1,365 active protocols among all 6 committees.
  • 1,197 current active human subject (IRB)
    projects
  • 420 new applications were reviewed by the IRBs in
    2004
  • 3,217 IRB review actions were processed by the
    office in 2004

10
Committee Review Support Staff
  • 1 Manager
  • 2 Coordinators
  • 3 Committee Assistants

11
So how do we handle this volume?
  • Prior to 1998 the office used a system of index
    cards and type writers to keep track of all
    projects.

12
Welcome to the 20th Century!
  • 1999- Microsoft Access database system was
    created to improve office efficiency and
    accuracy.
  • The original version of the database
  • stored protocol specific information
  • tracked all committee review activities.
  • generated agendas,
  • generated progress report forms,
  • Merged with MS Word documents to generate project
    specific approval letters.

13
Committees database
14
Record of all committee review activity
15
Technological Enhancements
  • Major improvements to enhance our human
    subject protection program were added over the
    past two years with support from an NIH grant
    (SO7 RR018131-01).
  • Database enhancements
  • Website redesign
  • Continuing Reviews on the web
  • Human Subject Protection Certification

16
In addition to the original functions, the
database is now used to
  • Automate approval letter selection for every
    committee review activity.
  • Generate IRB member Conflict of Interest reports
    for each meeting

17
Send email reminders when progress reports are
due for continuing review
  • Janice Muratori
  • Re Barry Sharaf, M.D.
  • CMTT 0143-01
  • Dr. Sharaf's study, Committee 0143-01, titled
    A Multicenter, Randomized, Double-Blind, Placebo
    Controlled Study to Evaluate the Efficacy and
    Safety of Ad5FGF-4 in Patients with Stable
    Angina. Protocol 304386 " will be due for
    continuation review in June.
  • The Progress Report form with the specific due
    date has been sent by mail.
  • Please contact Jacqui Poore for additional
    information.

18
Send email notices when the status of a project
has changed
  • Lance Dworkin
  • Ldworkin_at_lifespan.org
  • Re Lance Dworkin, M.D.
  • CMTT 0032-05
  • The status of your study, Committee 0032-05,
    titled A Multicenter, Open-Label Randomized
    Phase II Study to Assess Safety Duration of
    Treatment (up to 72 hours), and Preliminary
    Efficacy with the Renal Assist Device (RAD) in
    Patients with Acute Renal Failure. Protocol
    RAD-002 " has changed. Your study is now
    approved. Written documentation will be sent by
    mail shortly.
  • Please contact Jacqui Poore for additional
    information.
  •  

19
  • Send the agenda to researchers by email so that
    they know when their project will be reviewed

20
Web Based Changes
  • Our NIH grant was also used to enhance the
    overall structure and design of our website
  • www.Lifespan.org/research/

21
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22
Technological Improvements - Continuing Reviews
  • Old system
  • PIs provided 25 copies of the progress report
    application.
  • ORA staff prepared separate mailings to all IRB
    members with the progress report forms

23
Continuing Review System
  • New system
  • PIs provide 2 copies of the progress report.
  • ORA staff send one copy to the primary reviewer
  • ORA Staff scan the original progress report and
    post it to a secure website
  • IRB members log onto the password protected
    website from any computer to view the progress
    report submissions

24
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27
Human Subject Protection Certification
  • Initial Certification
  • Protecting Study Volunteers in Research, Dunn
    Chadwick
  • Recertification after 3 years
  • Investigator 101 CD-ROM followed by completion of
    an on-line exam

28
Future Plans
  • Expand website content to include teaching tools
    for researchers.
  • virtual classroom,
  • tutorials for study design,
  • consent form development
  • Expand the function of the Access database as
    needed
  • Initial Certification program to be accessible on
    the web

29
Questions?
  • Jacqui Poore
  • Jpoore_at_lifespan.org
  • (401) 444-2093
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