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新冠疫情对机构伦理委员会运作的影响:一项比较研究。

Impact of the COVID pandemic on functioning of the institutional ethics committee: A comparison study.

作者信息

Shetty Yashashri Chandrakant, Thatte Urmila Mukund, Pal Amitrajit, Katkar Janhavi

机构信息

Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

Department of Clinical Pharmacology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

出版信息

Perspect Clin Res. 2024 Jan-Mar;15(1):31-37. doi: 10.4103/picr.picr_79_23. Epub 2023 Oct 27.

Abstract

PURPOSE AND AIM

In COVID 19 pandemic, it was essential to document the functioning of the institutional ethics committee (IEC), how the organization adapted and faced challenges posed, thus forming the rationale behind this particular audit. The objectives were to assess the impact of the pandemic on the structure, review process, outcomes, and administration of IEC and to compare the same during its functioning in the prepandemic stage.

SUBJECT AND METHODS

The study was conducted as a retrospective audit. After exemption from ethics review, the data were collected from the IEC office situated in KEM Hospital and were segregated into four domains: structure, review process, outcomes, and administration. The data were analyzed using descriptive statistics. Mann-Whitney -test was used to compare the turnover time for approval of projects between the two study periods at 5% level of significance. SPSS software version 22 was used to analyze the data.

RESULTS

Constitution changed , more protocols pertaining to COVID 19 studies were reviewed, meetings frequency doubled, and Standard Operating Procedures was amended to incorporate the changes faced during pandemic. Significant decrease in turnover time was noticed with respect to submission to query letter and study completion. There were more protocol deviations. Financial burden and expenditure decreased due to less paperwork and meetings being held online.

CONCLUSION

The ethics committee infrastructure and functioning had to undergo a paradigm shift to adapt to the various changes and overcome the various hurdles occurring during the COVID-19 pandemic.

摘要

目的与目标

在新冠疫情期间,记录机构伦理委员会(IEC)的运作情况、组织如何适应并应对所面临的挑战至关重要,这构成了此次专项审计的基本原理。目标是评估疫情对IEC的结构、审查流程、结果及管理的影响,并将其在疫情前阶段运作时的情况与之进行比较。

对象与方法

本研究作为一项回顾性审计开展。在获得伦理审查豁免后,从位于KEM医院的IEC办公室收集数据,并将其分为四个领域:结构、审查流程、结果和管理。使用描述性统计方法对数据进行分析。采用曼-惠特尼检验在5%的显著性水平下比较两个研究期间项目批准的周转时间。使用SPSS软件版本22对数据进行分析。

结果

章程发生了变化,审查了更多与新冠研究相关的方案,会议频率翻倍,标准操作程序进行了修订以纳入疫情期间面临的变化。在提交至询问函和研究完成方面周转时间显著减少。出现了更多方案偏差。由于文书工作减少和在线会议的举行,财务负担和支出有所下降。

结论

伦理委员会的基础设施和运作必须经历范式转变,以适应各种变化并克服新冠疫情期间出现的各种障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1914/10810054/339d11ae99c5/PCR-15-31-g001.jpg

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