UAHS Research Intake Application Retrospective Chart Review/CRDW Request Form 2020 free printable template
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Research Intake Application
Retrospective Chart Review/ CREW Request
Date:Study Contact
Last Name:First Name:Phone:UA Email Address:Study Overview
Study Protocol Number / Nickname:
Principal Investigator:Principal
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How to fill out UAHS Research Intake Application Retrospective Chart
How to fill out UAHS Research Intake Application Retrospective Chart Review/CRDW
01
Obtain the UAHS Research Intake Application form from the UAHS website or administrative office.
02
Fill out the applicant's contact information including name, position, and department.
03
Provide a detailed project title that accurately reflects your retrospective chart review.
04
Clearly outline the purpose of the study and its significance in the research proposal section.
05
Describe the methodology including the selection criteria for the chart review and data collection methods.
06
Indicate the anticipated start and end dates of the study.
07
Ensure compliance with ethical standards and provide documentation of IRB approval, if applicable.
08
Include data protection measures to secure patient confidentiality and anonymity.
09
Review all sections of the application for completeness and accuracy.
10
Submit the completed application to the relevant UAHS department for review.
Who needs UAHS Research Intake Application Retrospective Chart Review/CRDW?
01
Researchers conducting retrospective chart reviews seeking institutional approval.
02
Healthcare professionals requiring data for quality improvement or clinical research.
03
Students or academic staff involved in research projects that utilize patient data.
04
Any individual or team that aims to use health records for research purposes within UAHS.
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What is UAHS Research Intake Application Retrospective Chart Review/CRDW?
The UAHS Research Intake Application Retrospective Chart Review/CRDW is a process used to evaluate and approve research studies that involve reviewing existing medical records to gather data for research purposes.
Who is required to file UAHS Research Intake Application Retrospective Chart Review/CRDW?
Researchers conducting studies that involve retrospective chart reviews must file the UAHS Research Intake Application Retrospective Chart Review/CRDW.
How to fill out UAHS Research Intake Application Retrospective Chart Review/CRDW?
To fill out the UAHS Research Intake Application Retrospective Chart Review/CRDW, researchers need to complete the application form, providing details about the study's objectives, methodology, data access, and ethical considerations.
What is the purpose of UAHS Research Intake Application Retrospective Chart Review/CRDW?
The purpose of the UAHS Research Intake Application Retrospective Chart Review/CRDW is to ensure that research involving patient data is conducted ethically, with appropriate oversight, and in adherence to legal requirements.
What information must be reported on UAHS Research Intake Application Retrospective Chart Review/CRDW?
Information that must be reported includes the study title, research objectives, methods of data collection, types of data requested, participant criteria, and plans for data storage and analysis.
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