Investigators must report the following events or issues to the IRB as soon as possible but within seven (7) working days after the investigator first learns of the event to AR-EHS. If investigators are uncertain but believe that the event might represent an UAP, a report should be submitted.
Upon receipt of the Event Report, the IRB Chair pre-reviews the submission and, if needed, contacts the investigator for corrections or additional information. If the report came from someone other than the investigator verbally, by email, or by other means, came from someone other than the investigator verbally, by email, or by other means, the IRB Chair or AREHS Director will develop a written report summarizing the available information. If the information provided suggests that subjects may be at risk of harm without immediate intervention or that research misconduct may have occurred, the AREHS Director, IRB Chair, and, when appropriate, the IO, will be notified so that they can take any necessary steps to ensure the safety of subjects or investigate the matter.
The IRB Chair or designated reviewer receives and reviews the report and makes an initial determination as to whether the event represents noncompliance, and, if so, if the noncompliance may be serious or continuing. If needed, the reviewer may request additional information from the investigator or others. When circumstances warrant, the AREHS Director or IRB Manager may bypass this step and assign the report for convened board review.
If the reviewer determines that the event or issue is not noncompliance, or is noncompliance but not serious or continuing, they will review any proposed corrective and preventative action plans and determine if the plan is acceptable as proposed or if modifications to the plan or additional actions are required. As warranted, the reviewer may refer the matter to the convened IRB for review. The results of the review will be recorded in the electronic system and communicated to the investigator.
If the reviewer determines that the event or issue may be serious or continuing noncompliance, the report will be referred for review by the convened IRB. The convened IRB will determine whether the event is serious or continuing noncompliance. The IRB will review any proposed corrective and preventative action plans and determine if the plan is acceptable as proposed or if modifications to the plan or additional actions, such as those outline below, are necessary to ensure the protection of human subjects. If needed, the IRB may request additional information from the investigator or others. The results of the review will be recorded in the IRB minutes and communicated to the investigator.
When the IRB determines that an event is serious or continuing noncompliance, the IRB may take any of the following actions, or others, to ensure the protection of human subjects:
- Requiring modifications to the protocol or research plan
- Revising the continuing review timetable
- Modifying the consent process
- Modifying the consent document
- Providing additional information to current participants (e.g., whenever the information may relate to the subject’s willingness to continue participation)
- Providing additional information to past participants
- Requiring additional training of the investigator and/or study staff
- Requiring that current subjects re-consent to participation
- Monitoring the research
- Monitoring consent
- Reporting or referral to appropriate parties (e.g., the IO, Compliance, Risk Management, Privacy)
- Suspending IRB approval
- Terminating IRB approval
- Other actions as appropriate given the specific circumstances
When the IRB determines that an event is serious or continuing noncompliance, the IRB staff will follow the procedures for reporting to regulatory agencies, sponsors, and organizational officials. When appropriate, a preliminary report may be submitted while more information is obtained to inform the determination or actions.