0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters |

Should Patients in Quality-Improvement Activities Have the Same Protections as Participants in Research Studies?—Reply

David Casarett, MD, MA; Jason H. T. Karlawish, MD; Jeremy Sugarman, MD, MPH, MA
JAMA. 2000;284(14):1786-1788. doi:10.1001/jama.284.14.1783.
Text Size: A A A
Published online

Extract

In Reply: Several of these authors raise the legitimate concern that our guidelines would curtail or delay important QI initiatives. While we agree that QI should be central to the missions of health care institutions, the importance of any activity to the delivery of quality care, whether research or QI, cannot justify waiving patient protections.

Nor are we convinced by arguments about the burdens of obtaining informed consent. Although the requirement for written documentation of informed consent for chart review if extended to QI, would have a chilling effect on QI, written informed consent is not always required for research.1 As Dr Cretin and colleagues point out, however, some states have this requirement. Nevertheless, this is a symptom of problems with the way that nonclinical research is variably regulated in this country, not with the distinction between research and QI.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 7

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();