1 Additional education;
2 Design changes in processes;
3 Notification of Study Participants of issues/problems with the study;
4 Enhanced external monitoring with direct review on areas of concern;
5 Observation of processes by external observers;
6 External intervention (i.e., “Preceptorship” or “Receivership”)
7 Suspension of study;
8 Suspension of researcher privileges to conduct research;
9 Termination/Revocation of researcher privileges to conduct research; and,
10 Study termination.
Table 1: IRB sanctions and punishments for non-compliance