You should make a ‘non-compliance’ report as soon as possible upon awareness of a deviation / violation of your research protocol.
This is so that the ethics committee can review the appropriateness of such deviations, assess their impact and where necessary, work with you to keep subjects safe.
Non-compliance can happen for many reasons. It could be accidental, deliberate or unavoidable (such as to protect research subjects from impending hazards). It may affect one or many subjects. Examples of protocol non-compliance include: (15,16)
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* Whilst it is important for your research protocol to be clear and specific, it does not need to be overly restrictive as this may lead to unnecessary non-compliance. For example, you may set a follow-up visit at 30 ± 5 days, instead of exactly 30 days. (17)
Medical Research Ethics Committee. SOP III: Post approval review [Internet]. University of Malaya Medical Centre; 2017. Available from: https://www.ummc.edu.my/files/ethic/III.%20POST%20APPROVAL%20REVIEW%20revisedlatestnov18.pdf
Ministry of Health Malaysia (MOH) Medical Research and Ethics Committee. MREC Protocol Deviation or Violation Report [Internet]. National Medical Research Register; Available from: https://nmrr.gov.my/doc/MREC%20Protocol%20Deviation%20&%20Violation%20Report.docx
Module 2 - Research Protocol. In: Johns Hopkins Bloomberg School of Public Health - GCP – Social and Behavioral Research Best Practices for Clinical Research [Internet]. CITI program; Available from: https://www.citiprogram.org/index.cfm?pageID=14&languagePreference=English®ion=1