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Findings and Observations of the NIH OBA IBC Site Visit Program Ryan Bayha Senior Analyst for Science Policy Outreach NIH Office of Science Policy NIH Office of Biotechnology Activities [email protected] NEBSA September 17, 2013 Cambridge, MA.

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Site visit program

Findings and Observations of the NIH OBA IBC Site Visit ProgramRyan BayhaSenior Analyst for Science Policy OutreachNIH Office of Science PolicyNIH Office of Biotechnology [email protected] 17, 2013Cambridge, MA


Site visit program

Site Visit Program

  • Proactive not-for-cause site visits:

    • Local

      • Educate about IBC requirements

      • Provide on-site advice

      • Identify opportunities for institutional improvement

      • Inform OBA of institutional challenges

    • National

      • Develop a body of information on best practices and common compliance challenges

      • Create a self-assessment tool for IBCs


Site visit program

Site Visit Program Methodology

  • Assessment of the institution's program for recombinant DNA research oversight

    • Review of institutional documentation related to the recombinant DNA research program

    • Interviews with selected institutional personnel involved in the conduct or oversight of research subject to the NIH Guidelines


Site visit program

Diversity of Institutions

Institution Type

  • Academic

    • Public

    • Private

  • Commercial

  • Research institute

Research Characteristics

  • In vitro

  • Human gene transfer

  • Animal

  • Plant

  • Biosafety level 1- 4


Selected findings to date

Selected Findings to Date


Site visit program

Positive Practices

  • IBC staff and member competencies

    • Service oriented

    • Accessible/responsive

    • Knowledgeable


Site visit program

Positive Practices

  • IBC charter, procedure manual or SOPs

    • Comprehensive SOPs help ensure that IBCs and others with biosafety responsibilities fulfill their duties consistently and correctly

    • SOPs can also facilitate successful training by articulating clear performance expectations


Site visit program

Positive Practices

  • Recognition of IBC service

    • Acknowledge in a highly visible way the value that the institution places on IBC service


Site visit program

PositivePractices

  • IBC membership

    • Broad array of expertise to compliment research portfolio

    • Term of membership


Site visit program

Positive Practices

  • PI attendance at IBC meetings

    • Enables the IBC to gain a fuller understanding of protocol details

    • Serves to enhance the visibility of the activities of the IBC among PIs at the institution


Site visit program

Positive Practices

  • Formal IBC conflict of interest policy

    • Promotes attention to the topic and consistent approaches to dealing with it


Site visit program

Positive Practices

  • Public access to meetings

    • Transparency encourages public trust and support

    • Some institutions post IBC meeting minutes and dates on publicly accessible web sites.


Site visit program

Positive Practices

  • Senior institutional official on IBC

    • Enhances the authority and effectiveness of the IBC

    • Signals to the institutional research community the committee’s importance


Site visit program

Positive Practices

  • Review of facilities construction and renovation by IBC

  • Routine certification and maintenance of laboratory equipment


Site visit program

PositivePractices

  • Coordination between IBC, IACUC, IRB

    • Helps ensure that all recombinant DNA protocols are reviewed by the IBC

  • Coordination with Grants and Contracts Office

    • Release of funds tied to IBC approval provides an additional checkpoint for compliance with the NIH Guidelines


Site visit program

ComplianceChallenges

  • Need for greater institutional resources

    • Examine the staffing and other resources needed to fulfill review, oversight and training responsibilities under the NIH Guidelines and ensure that these resources are adequate to the tasks at hand


Site visit program

ComplianceChallenges

  • Appropriateness of non-affiliated IBC members

    • Actual/perceived conflicts

    • Affiliations with the institution can include associations with entities with which the institution has business arrangements


Site visit program

ComplianceChallenges

Meeting minutes should contain a level of detail sufficient to adequately document fulfillment of IBC responsibilitiesSee OBA FAQ on minutes content: http://oba.od.nih.gov/oba/ibc/FAQs/IBC_Meetings_and_Minutes_FAQs.pdf


Site visit program

ComplianceChallenges

  • Robust training for IBC members, research staff, and support staff (e.g., animal care):

    • Utilize slides on OBA’s Web site

    • Take advantage of “IBC Basics” and other external training opportunities

    • Develop in-house programs that build on these resources

    • Devote explicit attention to recombinant and synthetic nucleic acid molecules

    • Document attendance


Site visit program

ComplianceChallenges

Approval of all projects subject to Sections III-A through III-E of the NIH Guidelines at a convened meeting of a quorum of the IBCSee OBA guidance on meetings http://oba.od.nih.gov/oba/ibc/FAQs/IBC_Meetings_and_Minutes_FAQs.pdf


Site visit program

ComplianceChallenges

  • Periodic review of recombinant DNA research

    • Have the IBC determine when project registrations should be renewed

    • Conduct rigorous laboratory inspections:

      • Documentation

      • Frequency

      • Qualification of inspector

      • Inspection standards


Site visit program

ComplianceChallenges

  • Proper disposal of recombinant DNA-containing waste, including transgenic plants and animals

    • Develop policies and procedures that preclude the entry of transgenic animals and plants into food stream

    • Rigorously train staff


Site visit program

ComplianceChallenges

  • Human gene transfer protocols

    • Review of informed consent

      • Ensure that human subjects are adequately informed of the possible risks, discomforts, and side effects that are associated with the use of gene transfer products

        See Informed Consent Guidance:

        http://oba.od.nih.gov/oba/rac/ic/index.html


Site visit program

ComplianceChallenges

  • Surveillance, emergency, and incident response plans

    • IBC-approved emergency plans covering accidental spills and personnel contaminations resulting from recombinant DNA research specifically

    • Individual laboratories can tailor these plans to fit their special circumstances


Site visit program

Compliance Challenges

  • Awareness of incident reporting requirements:

    • Incorporate incident reporting into training programs

      • Report within 30 days to NIH OBA any significant problems, violations of the NIH Guidelines, or any significant research-related accidents and illnesses

      • Report immediately to NIH OBA certain incidents described in Appendix G-II

        See OBA Guidance on Incident reporting: http://oba.od.nih.gov/oba/ibc/FAQs/FAQs_about_Incident_Reporting.pdf

        See OBA Incident Reporting Template:

        http://oba.od.nih.gov/oba/ibc/FAQs/Incident_Reporting_Template.doc


Incident reporting lessons learned

IncidentReporting: Lessons Learned


Site visit program

IncidentReportingRequirementsundertheNIHGuidelines

  • Under the NIH Guidelines "...any significant problems, violations of the NIH Guidelines, or any significant research-related accidents and illnesses" must be reported to NIH OBA within 30 days

  • Certain types of accidents must be immediately reported to NIH OBA:

    • Spills or accidents in BL2 laboratories resulting in an overt exposure

    • Spills or accidents occurring in high containment (BL3 or BL4) laboratories resulting in an overt or potential exposure


Site visit program

ImportanceofIncidentReporting

  • Keeps institutions aware of and accountable for safety-related problems

  • Provides OBA an opportunity to educate institutions about optimal responses to safety events

  • Allows OBA to identify patterns of safety problems at particular institutions, possibly pointing to a need for

    • Broad-based training

    • Interventions in particular laboratories


Site visit program

ImportanceofIncidentReporting

  • Allows OBA to identify patterns of safety problems nationwide which may need broader educational outreach

    • Issues with particular practices

    • Safety challenges with particular agents

    • Points of emphasis in OBA educational programs

    • Areas where the NIH Guidelines may need clarification or amendment


Site visit program

IncidentReportingFAQs

http://oba.od.nih.gov/oba/ibc/FAQs/FAQs_about_Incident_Reporting.pdf


Site visit program

NIHOBAIncidentReportingTemplate

http://oba.od.nih.gov/oba/ibc/FAQs/FAQs_about_Incident_Reporting.pdf


Site visit program

Research Institute = 6%

Gov’t = 6%

Other = 1%

Commercial = 9%

Academic = 40%

Hospital/Clinic = 38%

IBCs Registered with NIH OBA (June 2013)

Total = 890


Site visit program

Incident Reports by Institutional Type (2010 – 2012)


Site visit program

Reported Incidents by Type (2010 – 2012)

“Other” includes: equipment failure, loss of containment, potential exposure, etc.


Site visit program

Institutions Reporting Incidents*

*(Excluding Failure to Obtain IBC Approval)


Site visit program

Incidents reported to OBA by Biosafety Level (2010 – 2012)


Site visit program

Parenteral Exposures (2010 – 2012)

Approximately 30% of parenteral exposures occurred while handling a live animal


Site visit program

Animal Bites (2010 - 2012)


Site visit program

We know you know... But…

  • Ensure proper PPE use at all times, ESPECIALLY EYEWEAR

  • Legs and feet should be covered

  • Ensure proper posting of signage for potential hazards, SOPs, and emergency response procedures

  • Be constantly aware of all types of experiments being conducted, whether they have been approved, and whether they are being conducted at the appropriate containment level


Site visit program

We know you know ... But …

Common Sharps Sense – Top 10

Conduct frequent training on proper sharps use and disposal

Pay special attention when using sharps, avoid recapping needles

Empty sharps disposal containers regularly. Don’t compact with hands or try to overstuff when full

Don’t place sharps disposal containers next to regular trash cans

Don’t “retrieve” items from sharps containers

Ensure animals are properly restrained or anesthetized before attempting an injection

Use plastic rather than glass, or sharps with built in safety features when possible

Inspect glassware carefully before use

Tidy up breakages and equipment

Avoid multiple researchers working in proximity with sharps if possible


Site visit program

We know you know … But…

  • Make sure investigators know

    • Training …training … and more training

    • Provide specific examples of what can go/has gone wrong

    • Stress importance of reporting and requirements to do so (and that it’s not punitive)


New updated educational materials

New/UpdatedEducationalMaterials


Ibc self assessment tool

IBC Self-Assessment Tool

http://oba.od.nih.gov/rdna_ibc/ibc_training.html


Ibc self assessment tool1

IBC Self-Assessment Tool


Site visit program

Updated/New Educational Materials

Please request copies!


Site visit program

OBA NEWS Listserv

Subscribe to OBA_NEWS

Send an email to: [email protected]

In body of message type:

Subscribe OBA_NEWS


Site visit program

Contact Us

NIH Office of Biotechnology Activities

6705 Rockledge Drive, Suite 750

Bethesda, MD 20892-7985

Phone (301) 496-9838

Fax (301) 496-9839

Web: http://oba.od.nih.gov/oba/

Email: [email protected]


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