title: Review by a local medical research ethics committee of the conduct of approved research projects, by examination of patients' case notes, consent forms, and research records and by interview.
abstract: OBJECTIVE
  To monitor the conduct of medical research projects that have already been approved by the local medical research ethics committee.
  
  
  METHODS
  Follow up study of ethically approved studies (randomly selected from all the studies approved in the previous year) by examination of patients' case notes, consent forms, and research records and by interview of the researchers at their workplace.
  
  
  METHODS
  Tayside, Scotland (mixed rural and urban population).
  
  
  METHODS
  30 research projects approved by Tayside local medical research ethics committee.
  
  
  METHODS
  Adherence to the agreed protocol, particularly for recruitment (obtaining and recording informed consent) and for specific requirements of the ethics committee, including notification of changes to the protocol and of adverse events.
  
  
  RESULTS
  In one project only oral consent had been obtained, and in a quarter of the studies one or more consent forms were incorrectly completed. Inadequate filing of case notes in five studies and of consent forms in six made them unavailable for scrutiny. Adverse events were reported, but there was a general failure to report the abandoning or non-starting of projects in two studies the investigators failed to notify a change in the responsible researcher.
  
  
  CONCLUSIONS
  Monitoring of medical research by local medical research ethics committees promotes and preserves ethical standards, protects subjects and researchers, discourages fraud, and has the support of investigators. We recommend that 10% of projects should undergo on-site review, with all others monitored by questionnaire. This would require about six person hours of time and a salary bill of 120 pounds per study monitored.
authors.affiliation: Tayside Committee on Medical Research Ethics, East Day Home, King's Cross Hospital, Dundee.
authors.forename: T
authors.initials: T
authors.lastname: Smith
authors.forename: E J
authors.initials: EJ
authors.lastname: Moore
authors.forename: H
authors.initials: H
authors.lastname: Tunstall-Pedoe
mesh_terms: D032962:Consent Forms; D004282:Documentation; D026724:Ethical Review; D028744:Ethics Committees, Research; D004992:Ethics, Medical; D006801:Humans; D007258:Informed Consent; D007407:Interviews as Topic; D008499:Medical Records / Q000592:standards*; D018579:Patient Selection; D011367:Professional Staff Committees; D012106:Research / Q000592:standards*; D012107:Research Design; D035842:Research Subjects; D012423:Rural Health; D012606:Scotland; D014504:Urban Health