Any unanticipated problem, experience, incident or outcome occurring during the research is considered an “adverse event” and/or “unanticipated problem”. These “incidences” include any undesirable sign, symptoms and/or medical or psychological conditions that occur during the research (even if the event does not seem to be related to the research protocol/design). An “adverse event” also encompasses any undesirable and unintended effects that the research protocol/design may have on human subjects as a result of the collection of identifiable private information. Moreover, “adverse events” include any problems that may arise from the use of investigational devices and/or research protocols that end up adversely affecting the rights, safety or welfare of subjects.
Serious Adverse Events (SAEs) – in contrast – involve any of the following events:
- the development of a fatal and life-threatening condition,
- prolonged inpatient hospitalization,
- persistent and/or significant disability/incapacity,
- development of a congenital anomaly or birth defect,
- a medical development that is considered as serious by the investigator
- serious psychological and emotional distress resulting from the study participation (e.g. events that necessitate the need for professional counseling and/or intervention).
Furthermore, any adverse experience, event, incident, interaction or outcome that is not identified in nature, severity or frequency in the study documentation (i.e. protocol, consent, investigator brochure, package insert etc.) is considered an “unexpected adverse event”. Moreover, any event that is previously not known or anticipated to result from an underlying disease, disorder, or condition of the human subject or the study population may also be considered an unexpected event. For more information please also see DHHS guidelines.
To report adverse events please complete IRB Form 4.1 and submit it to the IRB as soon as possible (ideally within 48 hours of the incidence). Keep in mind, however, that the IRB may not be the only entity to which your adverse event must be reported. Make sure you have all the angles covered …