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机构审查委员会使用外部专家:我们了解多少?

Institutional Review Board Use of Outside Experts: What Do We Know?

机构信息

Associate director of IRB operations in the Office of Regulatory Affairs and Research Compliance at the Harvard T. H. Chan School of Public Health and an EdD candidate at Vanderbilt University.

Postdoctoral fellow and scholar at the Stanford Center for Biomedical Ethics at Stanford University.

出版信息

Ethics Hum Res. 2022 Mar;44(2):26-32. doi: 10.1002/eahr.500121.

DOI:10.1002/eahr.500121
PMID:35218600
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10360020/
Abstract

Institutional review boards (IRBs) are permitted by regulation to seek assistance from outside experts when reviewing research applications that are beyond the scope of expertise represented in their membership. There is insufficient understanding, however, of when, why, and how IRBs consult with outside experts, as this practice has not been the primary focus of any published literature or empirical study to date. These issues have important implications for IRB quality. The capacity IRBs have to fulfill their mission of protecting research participants without unduly hindering research is influenced by IRBs' access to and use of the right type of expertise to review challenging research ethics, regulatory, and scientific issues. Through a review of the regulations and standards permitting IRBs to draw on the competencies of outside experts and through examination of the needs, strategies, challenges, and concerns related to doing so, we identify critical gaps in the existing literature and set forth an agenda for future empirical research.

摘要

机构审查委员会(IRB)被法规允许在审查超出其成员专业知识范围内的研究申请时,寻求外部专家的协助。然而,对于 IRB 何时、为何以及如何咨询外部专家,人们的理解还不够充分,因为迄今为止,这一做法并不是任何已发表文献或实证研究的主要关注点。这些问题对 IRB 的质量有着重要的影响。IRB 保护研究参与者的能力,同时又不会过度阻碍研究,这取决于 IRB 获得和使用正确类型的专业知识的能力,以审查具有挑战性的研究伦理、监管和科学问题。通过审查允许 IRB 利用外部专家能力的法规和标准,并通过审查与之相关的需求、策略、挑战和关注点,我们发现现有文献中存在重大空白,并为未来的实证研究制定了议程。

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本文引用的文献

1
A Scoping Review of Empirical Research Relating to Quality and Effectiveness of Research Ethics Review.关于研究伦理审查质量与有效性的实证研究的范围综述
PLoS One. 2015 Jul 30;10(7):e0133639. doi: 10.1371/journal.pone.0133639. eCollection 2015.
2
How IRBs view and make decisions about social risks.机构审查委员会如何看待社会风险并做出相关决策。
J Empir Res Hum Res Ethics. 2013 Jul;8(3):58-65. doi: 10.1525/jer.2013.8.3.58.
3
IRB decision-making with imperfect knowledge: a framework for evidence-based research ethics review.IRB 决策中的不完善知识:基于证据的研究伦理审查框架。
J Law Med Ethics. 2012 Winter;40(4):951-69. doi: 10.1111/j.1748-720X.2012.00724.x.
4
The silent majority: who speaks at IRB meetings?沉默的大多数:谁在机构审查委员会会议上发言?
IRB. 2012 Jul-Aug;34(4):15-20.
5
IRBs and ethically challenging protocols: views of IRB chairs about useful resources.机构审查委员会与具有伦理挑战性的方案:机构审查委员会主席对有用资源的看法
IRB. 2010 Sep-Oct;32(5):10-9.
6
What scientists want from their research ethics committee.科学家对其研究伦理委员会的期望。
J Empir Res Hum Res Ethics. 2006 Mar;1(1):67-82. doi: 10.1525/jer.2006.1.1.67.
7
The expanding purview: institutional review boards and the review of human subjects research.不断扩大的范围:机构审查委员会与人体研究对象审查
Account Res. 2008 Jul-Sep;15(3):188-204. doi: 10.1080/08989620802201866.
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Strategies for achieving high-quality IRB review.实现高质量机构审查委员会(IRB)审查的策略。
Am J Bioeth. 2004 Summer;4(3):74-6; discussion W32. doi: 10.1080/15265160490497407.