introduction to research involving human subjects & the irb at florida hospital presented by janice...

Download Introduction to Research Involving Human Subjects & the IRB at Florida Hospital Presented by Janice Turchin, IRB Manager Florida Hospital Institutional

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  • Slide 1
  • Introduction to Research Involving Human Subjects & the IRB at Florida Hospital Presented by Janice Turchin, IRB Manager Florida Hospital Institutional Review Board
  • Slide 2
  • Healthcare leader Moves a hospital from being a consumer of evidence-based practice to a contributor of evidence-based practice Recruitment of high profile physicians Requires research infrastructure (grant support, facilities, trained staff) Graduate Medical Education Requirement to conduct research/scholarly activity Recruitment of quality residents and faculty Extends treatment options to patients Provide treatment options to patients that they would not otherwise have Remaining competitive with other hospital systems Participation with Medical Schools Great hospitals are associated with research
  • Slide 3
  • Research Enterprise 2013 Cancer Institute Jane Crofton 2501 N Orange Ave. Suite 683 Orlando, FL 32804 Cancer Institute Jane Crofton 2501 N Orange Ave. Suite 683 Orlando, FL 32804 Thrombosis John Francis 2501 N Orange Ave. Suite 786 Orlando, FL 32804 Thrombosis John Francis 2501 N Orange Ave. Suite 786 Orlando, FL 32804 Transplant Anne Epley 2415 N Orange Ave Suite 700 Orlando, FL 32804 Transplant Anne Epley 2415 N Orange Ave Suite 700 Orlando, FL 32804 Translational Research Institute Rob Deininger 301 E Princeton St. Orlando, FL 32804 Translational Research Institute Rob Deininger 301 E Princeton St. Orlando, FL 32804 Pharmacy Richard Montgomery 601 E Rollins St. Box 128 Orlando, FL 32803 Pharmacy Richard Montgomery 601 E Rollins St. Box 128 Orlando, FL 32803 Nursing Research Sandy Galura 701 E Altamonte Dr. Suite 4100 Altamonte Springs, FL 32701 Nursing Research Sandy Galura 701 E Altamonte Dr. Suite 4100 Altamonte Springs, FL 32701 Neuroscience Cherlynn Basignani 2501 N Orange Ave. Suite 111 Orlando, FL 32804 Neuroscience Cherlynn Basignani 2501 N Orange Ave. Suite 111 Orlando, FL 32804 GME Victor Herrera 2501 N Orange Ave. Suite 235 Orlando, FL 32804 GME Victor Herrera 2501 N Orange Ave. Suite 235 Orlando, FL 32804 Global Robotics Institute Maria Delaroza 410 Celebration Place Celebration, FL 34747 Global Robotics Institute Maria Delaroza 410 Celebration Place Celebration, FL 34747 Celebration Health Vickie White 400 Celebration Place Box 33 Celebration, FL 34747 Celebration Health Vickie White 400 Celebration Place Box 33 Celebration, FL 34747 Cardiovascular Melissa Leonard 601 E Rollins St. Box 99 Orlando, FL 32803 Cardiovascular Melissa Leonard 601 E Rollins St. Box 99 Orlando, FL 32803 IRB Institutional Review Board 212 E Winter Park St. Orlando, FL 32804 ORA Office of Research Administration 228 E Winter Park St. Orlando, FL 32804 Can cer R&D Sally Litherland 2501 N Orange Ave Suite 247 Orlando, FL 32804 Can cer R&D Sally Litherland 2501 N Orange Ave Suite 247 Orlando, FL 32804 Ortho Jason Croft 2501 N Orange Ave Suite 235 Orlando, FL 32804 Ortho Jason Croft 2501 N Orange Ave Suite 235 Orlando, FL 32804 Florida Urology Associates Felipe Valerio 1812 N Mills Ave. Orlando, FL 32803 Florida Urology Associates Felipe Valerio 1812 N Mills Ave. Orlando, FL 32803 Childrens Patricia Robinson 601 E Rollins St. Box 9 Orlando, FL 32803 Childrens Patricia Robinson 601 E Rollins St. Box 9 Orlando, FL 32803 Interventional Endoscopy Amy Logue 2501 N. Orange Ave, Suite 240 Orlando, FL 32804 Interventional Endoscopy Amy Logue 2501 N. Orange Ave, Suite 240 Orlando, FL 32804 Surgery Paula Veldhuis 2415 N. Orange Ave, Suite 401 Orlando, FL 32804 Surgery Paula Veldhuis 2415 N. Orange Ave, Suite 401 Orlando, FL 32804
  • Slide 4
  • Snapshot of Studies by Type n=579 as of 03/31/13
  • Slide 5
  • Florida Hospital Sponsored Studies by Type n=175 as of 03/31/13
  • Slide 6
  • Regulations and Oversight Why Does Research Need to be Regulated? What is IRB Oversight
  • Slide 7
  • Trigger Events The Nazi Experiments Concentration Camps WWII Tuskegee Syphilis Study (1932-1972) Infamous research to study the natural progression of untreated syphilis Milgrams Studies (1960s) Obedience Experiments Participants believed they were delivering electrical shocks
  • Slide 8
  • Johns Hopkins: A Cautionary Tale 2001 Healthy volunteer dies following participation in trial. Multiple failures on part of Medical School and Investigator. Johns Hopkins entire research program temporarily shut down. Criminal and Civil prosecutions.
  • Slide 9
  • Havasupai Indians and the Challenge of Informed Consent for Genomic Research Dispute between Arizona State University and the Havasupai Indians over the allegedly improper research use of DNA from members of the tribe Research a gene variant that might be contributing to the increasing rate of diabetes in the tribe. Research proved to be unfruitful. Blood was used for other research purposes including searching tribe members DNA for variants linked to schizophrenia. Rights of research subjects can be violated when they are not fully informed about how their DNA might be used. $700,000 Settlement
  • Slide 10
  • Ethical Milestones Nuremberg Code 1947 (Human consent is essential.) National Commission for the Protection of Human Subjects Biomedical & Behavioral 1974 (First bioethical commission to shape Human Subjects Research.) Belmont Report 1978 Common Rule 1991
  • Slide 11
  • The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research, April 18, 1979 Respect for Persons (Be courteous) People should be autonomous and not used as a means to an end. Allow informed choice where participants can choose for themselves. Provide additional protections for those who need it. Derived concepts: Informed consent, Respect for privacy. Beneficence (Do good) We are obligated to protect persons from harm by clearly identifying and maximizing anticipated benefits while minimizing possible risks of harm. Derived concepts: Good research design, Competent investigators, Favorable risk/benefit analysis. Justice (Be fair.) Requires that the benefits and burdens of research be distributed fairly. Derived concepts: Equitable selection of subjects.
  • Slide 12
  • Common Rule A federal policy regarding Human Subjects Protections that applies to 17 Federal agencies and offices. Outlines the requirements for assuring compliance by research institutions. Outlines the requirements for researchers' obtaining and documenting informed consent. Requirements for Institutional Review Board (IRB) membership, function, operations, review of research, and record keeping. Outlines protections for vulnerable populations Pregnant Women, Fetuses, Prisoners, Children.
  • Slide 13
  • Title 45 Code of Federal Regulations, Part 46 The Common Rule A federal policy regarding Human Subjects Protections that applies to 17 Federal agencies and offices. Subpart A: Outlines the requirements for: assuring compliance by research institutions (Federalwide Assurance [FWA]); obtaining and documenting informed consent; IRB membership, function, operations, review of research, and record keeping. Subparts B, C, D - Outline protections for vulnerable populations Pregnant Women/Fetuses/Neonates, Prisoners, Children, respectively.
  • Slide 14
  • Food & Drug Administration (FDA) Human Research Regulations 21 CFR 11 Electronic Records/Signatures 21 CFR 50 Protection of Human Subjects 21 CFR 56 Institutional Review Boards 21 CFR 312 Investigational New Drug Application 21 CFR 312 Investigational Device Exemptions ETC, ETC, ETC i.e. Licensing, Biological Products, Premarket Approval of Devices....
  • Slide 15
  • HIPAA Privacy Rule for Research FH IRB acts as the Privacy Board for research Patient Authorization IRB Consent form template includes HIPAA authorization Waiver of HIPAA Authorization Retrospective chart reviews
  • Slide 16
  • What are Enforcement Options? Fines and civil penalties OversightSuspension or termination of PI Suspension or termination of Institution Loss of funding Criminal penalties
  • Slide 17
  • Research Regulation is Needed How do we regulate Human Subjects research at Florida Hospital?
  • Slide 18
  • Florida Hospital Research Regulatory Offices
  • Slide 19
  • Institutional Review Board - IRB Federal wide Assurance (FWA) FH has negotiated with the Office for Human Research Protections (OHRP) that all of the institutions human subject research activities, regardless of funding, will be guided by the Belmont Report, will comply with the Common Rule, and other regulations as applicable. The purpose of an IRB is to review research involving human subjects to ensure their rights and welfare are adequately protected. Board consists of physicians, nurses, community members (i.e. clergy and study participants), non-scientists.
  • Slide 20
  • Authority & Responsibilities - IRB Report, as required, unanticipated problems involving risks to subjects or others; non- compliance; suspensions and termination to: Sponsor OHRP Office of Human Research Protection FDA Federal Wide Assurance (FWA) Assist and guide researchers to help protect the rights of human subjects Charged with safeguarding the rights and welfare of human subjects Review all research studies involving human subjects under the Florida Hospital auspices. Audit research studies.
  • Slide 21
  • What do I do if I want to do research at Florida Hospital?
  • Slide 22
  • What is Human Subjects Research? Meets feder

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