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Research Institute for Tropical Medicine
INSTITUTIONAL REVIEW BOARD
PROTOCOL DEVIATION REPORT FORM
Protocol Deviation : A protocol deviation is any change, divergence or departure from the study design
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How to fill out protocol deviation report

How to fill out a protocol deviation report:
01
Begin by clearly identifying the protocol deviation that occurred. This could be any instance where there was a deviation from the approved research protocol.
02
Provide a detailed description of the deviation, including the date, time, and location it occurred. Be sure to include specific information such as the task or procedure involved and any relevant circumstances surrounding the deviation.
03
Assess the impact of the deviation on the study. Evaluate whether it has affected the data collection, study participants, or the overall integrity of the research.
04
Analyze the potential reasons or causes for the deviation. This may include human error, equipment failure, or unforeseen circumstances. It is essential to thoroughly investigate and document the underlying factors to prevent future deviations.
05
Propose corrective actions to mitigate the impact of the deviation and prevent similar incidents in the future. These actions may include additional training, process improvements, or revised protocols.
06
Discuss any potential risks or implications arising from the deviation. Consider the possible consequences for the study participants, data integrity, or regulatory compliance.
07
Obtain appropriate signatures from relevant parties involved in the investigation, such as the principal investigator, study coordinator, and any other individuals directly impacted by the deviation.
Who needs a protocol deviation report:
01
Research sponsors and funding agencies: They need a detailed understanding of any protocol deviations to ensure compliance with regulatory requirements and to evaluate the impact on the validity of the study.
02
Institutional review boards (IRBs) or ethical committees: These organizations review and oversee research protocols to protect the rights and welfare of study participants. They require protocol deviation reports to assess the study's compliance and ensure participant safety.
03
Regulatory authorities: Government regulatory agencies, such as the Food and Drug Administration (FDA), may request protocol deviation reports during audits or inspections to ensure compliance with good clinical practice (GCP) guidelines.
04
Principal investigators and study teams: Protocol deviation reports serve as valuable documentation for internal purposes, allowing researchers to identify areas for improvement and take appropriate corrective actions.
In conclusion, filling out a protocol deviation report requires a systematic approach to document the deviation, analyze its impact, propose corrective actions, and gather necessary signatures. It is essential to address deviations promptly to maintain data integrity, participant safety, and compliance with regulatory requirements. Various stakeholders, including research sponsors, IRBs, regulatory authorities, and study teams, rely on these reports to ensure the validity and ethical conduct of research studies.
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