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Review ArticleREVIEWS AND CONTEMPORARY UPDATES
Open Access

Institutional Review Board Assessment—Balancing Efficiency and Quality

Stephen J. Rosenfeld
Ochsner Journal March 2020, 20 (1) 50-55; DOI: https://doi.org/10.31486/toj.19.0075
Stephen J. Rosenfeld
Freeport Research Systems, LLC, Freeport, ME
MD, MBA
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  • For correspondence: srosenfeld{at}me.com
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    Table.

    Measures of Institutional Review Board Quality

    DomainMeasureProposed Process or Metric
    ProcessesTime to event (eg, review, final determination, approval of final consent version)Standard definition for all event triggers
    Ongoing review of outliers
    Ongoing review of metric distributions
    Complexity score
    ComplianceWith recordkeeping requirements
    With requirements for minutes
    Competencies on roster
    Compliance with the 45 CFR §46.111 criteria for approval
    ConsentInclusion of required elements of consent
    Review of the circumstances under which consent is sought
    Error ratesStandards for error attribution
    Decision-making qualityConsistencyConsistency with past determinations for similar studies or research contexts
    Justification for inconsistencies
    Membership and meetingsAlignment of meeting participants and reviewers with context of specific studies being reviewed
    Appropriate participation of members and consensus seeking
    Member surveys or interviews
    ConsentUnderstandability, accessibility, and utility of the consent form to actual participants
    ReviewAdequacy of minutes to support board decision-making and quality assurance
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Ochsner Journal: 20 (1)
Ochsner Journal
Vol. 20, Issue 1
Mar 2020
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Institutional Review Board Assessment—Balancing Efficiency and Quality
Stephen J. Rosenfeld
Ochsner Journal Mar 2020, 20 (1) 50-55; DOI: 10.31486/toj.19.0075

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Institutional Review Board Assessment—Balancing Efficiency and Quality
Stephen J. Rosenfeld
Ochsner Journal Mar 2020, 20 (1) 50-55; DOI: 10.31486/toj.19.0075
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  • Article
    • Abstract
    • INTRODUCTION
    • ADMINISTRATIVE PERFORMANCE MEASURES
    • MEASURES OF BOARD DECISION QUALITY
    • CONCLUSION
    • ACKNOWLEDGMENTS
    • REFERENCES
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Keywords

  • Decision making–organizational
  • ethics–research
  • Ethics committees–research
  • process assessment–health care
  • quality improvement

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