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The James A Vohs Award
••Summer 1999 / Vol 3, No 2

Comments from the Journal EditorsAbstracts from articles published in other journals
Clinical articles on the practice of Permanente medicineOriginal Research
Poetry, Art, Musings from Permanente clinicians
Nonclinical articles on external issuesArticles from a Systems perspective
Book ReviewsMedical Legal UpdateA Word From the Medical Directors lighter side of medicine

 

 

 

 

 

 

 

 

 

 


Medical Legal Update



The Institutional Review Board: A Necessary Bureaucracy.
Diana B. Petitti, MD; Nancy R. King, MPA

The IRB is charged with protecting the rights and welfare of people who participate in research as subjects. Any project that involves randomization of patients to different interventions must be reviewed by the IRB. This review is required even if the project is a quality improvement project because random assignment is, by definition, an experiment and thus research. Researchers are often surprised when they discover that studies involving chart review and use of computer-stored data involve risk...the risk of loss of privacy and confidentiality.
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