Chart review irb 2025

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Chart reviews may include appraising the medical records physician and nursing notes, outpatient and emergency department reports, consultations, admission and discharge documentation, and diagnostics.
Chart Review is an Epic activity where you can review reports about a patients encounters, labs, imaging orders, procedures, medications, and more.
Chart reviewing varies, but primarily entails reviewing medical necessity or authorizations, and making recommendations. This can be related to length of stay, medications/treatments, procedures, physical therapy or ancillary services, amongst other things.
IRB must review all projects that meet the definition of research and that involve human subjects prior to any data collection to determine the appropriate level of review, and, as appropriate, approve them. There are three major types of review: Exempt, Expedited, and Full.
Retrospective Chart Reviews of existing medical records that are intended as a systematic investigation designed to contribute to generalizable knowledge require prior IRB approval.
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A Retrospective Chart Review evaluates patient data that is existing at the time the project is submitted to the IRB for initial review. A Prospective Chart Review evaluates patient data that does not yet exist at the time the project is submitted to the IRB for initial review.
It is a systematic review and evaluation of a patients personal medical records which contain his/her active and past medical history that includes lab results, immunizations, medical conditions, treatments, and more.

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