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of the countries in the world today. Although the study does not involve exposing any

               intervention(s) to the patients and/or it does not even involve any interaction with the


               patients, however ethics approval is still necessary to ensure that privacy and confidentiality

               of all patient data are adequately protected in order that such data will not be abused. In


               addition, most reputable journals will require ethical approval as a prerequisite for

               publication.


                       Once the consent and the approval have been granted, the data can be transferred from

               one party to the other in several ways, including by hand or by an external gadget (such as the


               use of a CD or thumb drive), or via sharing through a password-protected cloud storage. It is

               always advisable to take special precautions for handling all the patient data which are


               collected by a registry because they are strictly confidential. Hence, both the data owner and

               the researcher must adhere to a proper code of practice for data sharing procedures which will

               duly ensure that confidentiality of all these patient data is strictly maintained at all times.


               Apart from this, the terms of reference must also be carefully drafted between the both parties

               so that they have been made aware of each other's rights and responsibilities after having


               agreed to work together to accomplish a shared goal. It will also be ideal to carefully

               document the terms of reference between the two parties for future reference.





               2.2 Understand the Scope of a Registry

                       After having obtained prior consent and approval from all relevant authorities, the


               next step is to understand the scope of data collection necessary to meet research needs for a

               patient registry and the minimum standard of data quality necessary for fulfilling all the

               purposes of the registry. Therefore, it is of utmost importance for the researcher to gain a


               thorough understanding of the background of subject matter which underpins the content of a

               registry by reading around the subject matter, its proposed method of data collection and all
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