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Nursing Research and PracticeVolume 2013 2013, Article ID 548591, 6 pages

Research ArticleAcademic Center for Evidence-Based Practice, School of Nursing, University of Texas Health Science Center at San Antonio, MSC 7949, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA

Received 18 February 2013; Accepted 26 March 2013

Academic Editor: Deborah Vincent

Copyright © 2013 Darpan I. Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The purpose of this paper is to report the variance in institutional review board IRB reviews as part of the implementation of a multisite, quality improvement study through the Improvement Science Research Network ISRN and recommend strategies successful in procuring timely IRB approval. Using correspondence documents as data sources, the level of review was identified and time to submission, time to approval, and time to study start were analyzed. Thirteen of the 14 IRBs conducted independent reviews of the project. Twelve IRBs approved the study through expedited review while two IRBs reviewed the project at a full board meeting. Lastly, 11 of the 14 sites required documented consent. The greatest delay in approval was seen early on in the IRB process with site PIs averaging 45.1 ± 31.8 days to submit the study to the IRB. IRB approvals were relatively quick with an average of 14 ± 5.7 days to approval. The delay in study submission may be attributed to a lack of clear definitions and differing interpretations of the regulations that challenge researchers.

Autor: Darpan I. Patel, Kathleen R. Stevens, and Frank Puga



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