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When IRBs review multisite studies, particularly when the sites are at different research institutions, there is a question about how faithfully each site sticks to the protocol and avoids deviations. With large, multisite, non-biomedical studies, fidelity — or maintaining protocol compliance — requires considerable resources.
Financial Disclosure: Author Melinda Young, Medical Writer Gary Evans, Editor Jill Drachenberg, Editor Jesse Saffron, Editorial Group Manager Leslie Coplin, Physician Editor Lindsay McNair, MD, MPH, MSBioethics, and Nurse Planner Kay Ball, PhD, RN, CNOR, CMLSO, FAAN, report no consultant, stockholder, speaker’s bureau, research, or other financial relationships with companies having ties to this field of study.