Safeguard methods used to protect vulnerable

Received Feb 14; Accepted Apr This article has been cited by other articles in PMC. Abstract Although critically ill patients represent a vulnerable group of individuals, guidelines in research ethics assert that ethically acceptable research may proceed with such vulnerable subjects if additional safeguards are in place to minimize the risk of harm and exploitation.

Safeguard methods used to protect vulnerable

Received Feb 14; Accepted Apr This article has been cited by other articles in PMC. Abstract Although critically ill patients represent a vulnerable group of individuals, guidelines in research ethics assert that ethically acceptable research may proceed with such vulnerable subjects if additional safeguards are in place to minimize the risk of harm and exploitation.

Such safeguards include the proper obtainment of informed consent that avoids the presence of the therapeutic misconception and the assessment of decisional capacity in critically ill patients recruited for research.

Also discussed in this review are additional safeguards for such vulnerable subjects, as well as the issues involved with proxy consent. Heightened awareness to principles of ethics and provision of additional safeguards to enhance protections of vulnerable subjects would help to maintain the public trust in the research endeavor.

Introduction Critical care research presents special ethical challenges largely due to the potential for exploitation stemming from the vulnerability of the critically ill patients who are solicited for enrollment. Vulnerability refers to the inability to protect oneself and can be due to intrinsic e.

The presence of vulnerability makes the achievement of a valid, informed consent problematic. Nonetheless, consensus statements on research ethics assert that ethically acceptable research may proceed with such vulnerable subjects if additional safeguards are in place to minimize the risk of harm and exploitation [ 2 - 5 ].

However, research involving critically ill patients remains problematic due to the lack of guidance on how to protect vulnerable subjects adequately [ 16 ].

For example, the U. Similar lack of guidance as well as ambiguity has been raised with the European Union Directive [ 89 ]. In the absence of the specification of at least the essential safeguards, the protection of vulnerable subjects relies too heavily on the views of diverse IRBs, leading to insufficient protection of vulnerable subjects [ 10 ].

For example, in its investigation of critical care trials, the Office for Human Research Protections OHRP found that most IRBs failed to require additional safeguards beyond that of requiring proxy consent [ 11 ].

Introduction

In a cross-sectional survey of IRBs in U. This article is designed to review a the issues involved with the decision-making capacity of critically ill patients, b the methods of capacity assessment, and c the potential concerns regarding proxy consent.

A framework is also presented to outline specific core safeguards linked to risk levels that will minimize the possibility of exploitation of critically ill patients who are asked to enroll in clinical trials.

Informed consent and the capacity to consent Informed consent provides research subjects a mechanism to protect themselves. Such a protection mechanism is necessary, because unlike in the clinical setting in which the interests of patients and doctors converge, researchers' interests in obtaining valid scientific data can conflict with their obligation to protect the rights and welfare of the research participants.

Critical care investigators face a difficult task of recruiting research subjects who may have diminished capacity to understand information, appreciate the situation they are in, and to make complex decisions. Indeed, studies have shown that patients with acute illnesses may have limitations in their decision-making capabilities due to a number of factors, including the presence of delirium, their underlying illness, or the use of sedatives and analgesics [ 11 - 16 ].

Safeguard methods used to protect vulnerable

The presence of these factors does not necessarily translate into incapacity to provide a valid informed consent to research. Indeed, two types of errors can occur in the setting of obtaining informed consent from critically ill patients.To protect vulnerable adults, government has put various legislations in regards to vulnerable adults in place.

INTRODUCTION

One of this is the POVA. The Protection of Vulnerable Adults was legislated for through part VII of the Care Standards Act () and involves a list of people to be held by the Secretary of State who will be banned from working with.

Safeguard Methods Used to Protect Vulnerable People Safeguard Methods Used to Protect Vulnerable People. In this essay, I will examine a case study with four individual service users; Mr D, Mr R, Ms M and Ms P who are all described as vulnerable adults with learning disabilities, how and why these disabilities have lead to the service users.

Dec 22,  · MEASURES OF QUALITY OF CARE FOR VULNERABLE POPULATIONS Release Date: December 22, RFA: HS P.T.

Safeguard methods used to protect vulnerable

Agency for Health Care Policy and Research Letter of Intent Receipt Date: January 29, Application Receipt Date: March 15, PURPOSE The Agency for Health Care .

Making use of complex passwords and strong methods of authentication can help keep your personal information secure. Choose strong passwords Protect your devices and accounts from intruders by choosing passwords that are hard to guess.

Focusing on Vulnerable Populations. Development and evaluation of health care quality measures and measurement methods for vulnerable populations should be supported.

Methods for identifying vulnerable individuals may also be hampered by efforts to protect their privacy or to shield them from discrimination. For example, most health. The department of Health () definition of a vulnerable adult is: “Who is or may be in need of community care or services by reason of mental or other disability, age or illness; and who is or maybe unable to take care of him or herself, or unable to protect him or herself against significant harm or exploitation.”.

Vulnerable population and methods for their safeguard