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EBP Law & Ethics

Legal and Ethical Issues with Research

QuestionAnswer
Enacted in 1996 to protect the privacy of an individual's information HIPAA (Health Insurance Portability and Accountability Act
Four elements of ethical research are Protecting subjects, Benefits vs. Risks, Informed consent, Institutional approval
Disciplined study of morality Ethics
What should one's behavior and character be is an example of Morality
Unlawfully studied progression of untreated syphilis in black men. Tuskegee Project (1932-1972)
People in this study thought they were just receiving free health care Tuskegee Project (1932-1972)
This drug was found to be an effective cure against syphilis in 1940 Penicillin
A social movement claiming to improve genetic features of human though Selective breeding and sterilization Eugenics
International principles of human experimentation brought on as a result of Nazi war crimes Nuremburg Code
Set of ethical principles regarding human experimentation as set by the World Medical Association Declaration of Helsinki (1964)
Widely regarded as the Cornerstone document of human research ethics Declaration of Helsinki (1964)
This organization set guidelines to protect human research subjects (1973) DHEW (Department of Health, Education, and Welfare)
Passed in 1974 by US National Research Act
This was created by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research in 1979 Belmont Report
This report attempted to summarize the basic ethical principles for research Belmont Report (1979)
This report provided moral framework on use of humans in experimental research Belmont Report (1979)
The Belmont Report lead to the establishment of _______ in the department of _______ OHRP(Office for Human Research Protections) HHS(Health and Human Services)
This agency set regulations requiring institutional review boards for the protection of human subjects OHRP in the department of HHS
This type of research provides an opportunity to receive experimental tx that may provide benefits. Therapeutic or Nontherapeutic? Therapeutic Research
This type of research generates knowledge for discipline. Therapeutic or Nontherapeutic? Nontherapeutic Research
This type of research benefits future generations. Therapeutic or Nontherapeutic? Nontherapeutic
This type of research WILL NOT benefit current subjects. Therapeutic or Nontherapeutic? Nontherapeutic
The freedom to participate or not is known as autonomy, beneficence, or justice? Autonomy
The promise to above all, do no harm is known as autonomy, beneficence, or justice? Beneficence
Fair treatment in regards to benefits and risk of research is known as autonomy, beneficence, or justice? Justice
Not using coercion is adhering to which ethical principle? Autonomy
Full disclosure and no deception adhere to which ethical principle? Autonomy
Voluntary Consent adheres to which ethical principle? Autonomy
Self-determination is adheres to which ethical principle? Autonomy
Freedom from harm relates to which ethical principle? Beneficence
Freedom from exploitation relates to which ethical principle? Beneficence
Risk/benefit ratios such as high anticipated benefit may balance high risk relates to which ethical principle? Beneficence
Fair tx (even if pt chooses not to participate) relates to which ethical principle? Justice
Right to privacy, animinety, and confidentiality relate to which ethical principle? Justice
Fair selection of subjects and treatment during study relates to which ethical principle? Justice
Paying subjects large sums of money would violate which ethical principle? Justice
This federal program does clinical investigations regarding human subjects involving products and drugs. US Food and Drug Admin (FDA)
Animal studies are also included in this federal programs product and drug investigations US Food and Drug Admin (FDA)
This act was implemented in 1003 to protect individual's private health information HIPAA
This act protects individually identifiable health information HIPAA
Under HIPPA regulation the following must be removed in order to de-identify health information Name, location, dates, phone, SS, MRN, photos, etc...
Unauthorized access to raw medical data is a breach of what? Confidentiality
These people are given extra protection of right to self-determination Vulnerable groups
These people are defined as have decreased ability or an inability to give informed consent Vulnerable groups
Vulnerable subjects include Legally and mentally incompetent, neonates/infants/children, terminally ill, and institutionalized persons.
Four Elements of informed consent include Purpose of research, duration, description of procedures, and identification of procedures.
Four reasons for intervention pertaining to informed consent include Unforseeable risks, subject termination, additional costs, early subject withdrawl
This institution reviews research projects and ensures that ethical standards are met in relation to the protection of the rights of subjects Institutional Review Boards (IRBs)
This 1974 act requires research study reviews (Part of IRB) National Research Act
Protection of rights and welfare, voluntary consent, and benefit/risk balances are functions of the Institutional Review Board (IRB)
Which level of review invovles no risk Exempt from Review Procedures
Level in which there is research on regular educational strategies such as use of educational tests Exempt
Level in which data are recorded so subjects cannot be identified. Public data also used. Exempt
Level of review which involves minimal risk Expedited
Level of review involving collection of hair and nails Expedited
Level of review involving collection of excreta and external secretions (Venipuncture) Expedited
Level of review involving recordings using noninvasive procedures and study of existing data (Weight, medical records) Expedited
Level of review involving vulnerable population or potential harm/risk Complete
Level of review involving greater than minimal risk Complete
Level of review involving giving chemicals and invasive procedures Complete
Fraud research protocol violations are examples of Research Misconduct
Fabrication, falsification, forging of data are examples of Research Misconduct
Plagiarism is an example of Research Misconduct
Putting subjects at risk without consent is an example of Research Misconduct
Name the five Human rights as outlined by the ANA Self-determination, privacy, anonymity and confidentiality, fair treatment, and protection from harm.
Created by: Blitzkid22
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