QA/QI
The Institutional Review Board (IRB) at Kennesaw State University established a Quality Assurance/Quality Improvement
(QA/QI) program to enhance safeguards for human research at KSU and to showcase the
institution's dedication to ongoing compliance improvement. Maintaining a quality
program requires the identification of the strengths and weaknesses of protection
efforts; doing so allows the IRB to uphold KSU's illustrious history of excellence.
The purpose of QA/QI implementation at KSU is to assess the adequacy of protections
for human research at different levels, raise awareness regarding current processes,
operating procedures, and educational programs, and obtain the information required
to strengthen protections. By utilizing the QA/QI, KSU can evaluate its adherence
to Good Clinical Practice (GCP) guidelines and federal, state, and institutional regulations.
This adherence is critical in ensuring that the institution meets the utmost standards
for the protection of human subjects.
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The Institutional Review Board (IRB) or the Vice President for Research conducts this
category of review in response to the following: exceptional circumstances, substantial
risks to subjects, investigators' routine non-compliance with federal and/or institutional
regulations, allegations or concerns regarding the study's execution that are brought
to the IRB's attention, or any other case that the IRB deems suitable for additional
scrutiny.
In order to ascertain the investigator's research records' consistency and accuracy,
as well as to validate that no significant modifications were implemented to the protocol
before IRB approval, a comparison may be drawn between the records maintained by the
IRB and those of the investigator. In order to determine whether additional action
is required, the IRB is notified of the findings of the directed review, which are
subsequently shared with the Principal Investigator (PI) and his/her research personnel.
IRB develops a plan for follow-up, which may include, but is not limited to, another
QA/QI review or monitoring of the informed consent process, if it determines during
a review of the results of a directed review that the exposed deficiencies warrant
suspension or termination of the research.
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PI Self-Assessment Reviews
The PI or a member of his or her research personnel may conduct this type of review
voluntarily. Nonetheless, a PI may be prompted to conduct a self-assessment evaluation
upon direct invitation and at the discretion of the Vice President for Research or
of the IRB.
For completion by the PI and/or research personnel, the IRB provides a web-based self-assessment
form (also available electronically or on paper). The outcomes of a PI self-assessment
evaluation may be uploaded to a secure database, following which the IRB may provide
the PI with recommended remedial measures for deficiencies.
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Administrative Assessment Reviews
An IRB or vice president for research may initiate this form of review at their discretion.
To evaluate the procedures implemented and/or concerns addressed by the IRB regarding
the protection of human subjects in research, or to enhance management, a comprehensive
examination of the IRB records may be performed.
Periodic performance evaluations of IRB members are carried out in order to validate
their qualifications. The vice president of research is informed of the outcomes of
an administrative evaluation. The findings might have an effect on current procedures
and necessitate supplementary educational endeavors for investigators/study personnel,
IRB staff, or IRB members.
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(QA/QI) Findings – Reporting Requirement
One of the objectives of the QA/QI program is to provide researchers with information
on the safeguards that are in place to protect studies involving human beings. The
outcomes of routine QA/QI evaluations and Principal Investigator (PI) Self-Assessment
evaluations are documented with the Institutional Review Board (IRB) in order to ensure
that this intention is met.
Review Outcomes Documented With the IRB
Significant or Serious Deficiencies in Human Research Protections (including, but
not limited to):
- A major protocol violation (for more information and details, see Protocol Violations
SOP
- Unanticipated problem involving risk to subject or others which has not been previously
reported to the IRB (for definitions, see the Policy on Prompt Reporting for Unanticipated/Anticipated
Problems/Events
- Serious or continuing noncompliance
Review Outcomes Not Documented With the IRB
Minor Deficiencies in Human Research Protections (might include, but is not limited
to):
- Administrative/management errors which do not impact subject safety, do not substantially
alter risks to subjects, or do not affect data integrity
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