title: Notes from the field: jumpstarting the IRB approval process in multicenter studies.
abstract: OBJECTIVE
  To identify strategies that facilitate readiness for local Institutional Review Board (IRB) review, in multicenter studies.
  
  
  METHODS
  Eleven acute care hospitals, as they applied to participate in a foundation-sponsored quality improvement collaborative.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Participant observation, supplemented with review of written and oral communications.
  
  
  RESULTS
  Applicant hospitals responded positively to efforts to engage them in early planning for the IRB review process. Strategies that were particularly effective were the provisions of application templates, a modular approach to study description, and reliance on conference calls to collectively engage prospective investigators, local IRB members, and the evaluation/national program office teams. Together, these strategies allowed early identification of problems, clarification of intent, and relatively timely completion of the local IRB review process, once hospitals were selected to participate in the learning collaborative.
  
  
  CONCLUSIONS
  Engaging potential collaborators in planning for IRB review may help expedite and facilitate review, without compromising the fairness of the grant-making process or the integrity of human subjects protection.
authors.affiliation: Wagner Graduate School, New York University, Puck Building, 295 Lafayette Street, New York, NY 10012, USA.
authors.forename: Jan
authors.initials: J
authors.lastname: Blustein
authors.forename: Marsha
authors.initials: M
authors.lastname: Regenstein
authors.forename: Bruce
authors.initials: B
authors.lastname: Siegel
authors.forename: John
authors.initials: J
authors.lastname: Billings
mesh_terms: D003299:Cooperative Behavior; D028744:Ethics Committees, Research / Q000458:organization & administration*; D006739:Hospital Administration / Q000379:methods*; D006801:Humans; D008330:Management Audit / Q000458:organization & administration*; D015337:Multicenter Studies as Topic / Q000379:methods*