Audit objectives

Human research ethics audits are conducted to:

  • Ensure the ongoing protection of research participants with respect to their rights, safety, and welfare including the proper protection and management of all participant data and biological materials
  • Foster a culture of responsible conduct of research

Research audits are undertaken by the Research Compliance Specialist to assess compliance with:

  • The REB-approved research study and study-referenced documents,
  • The Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans (TCPS 2 (2022)), 
  • Freedom of Information and Protection of Privacy Act (FIPPA) and Regulation (Manitoba),
  • Personal Health Information Act (PHIA) and Personal Health Information Regulation 245/97 (Manitoba),
  • University of Manitoba’s The Ethics of Research Involving Humans Policy and Procedure,
  • University of Manitoba’s Responsible Conduct of Research Policy, Responsible Conduct of Research – Code of Research Ethics Policy, and Responsible Conduct of Research – Procedure, and
  • Research Ethics Offices procedures and guidelines.

Types of audits

Routine audits

Routine audits are conducted to confirm ongoing compliance.

Active studies are selected for routine audit if they meet any of the criteria set out below: 

  1. Studies that are deemed by an REB to be more than minimal risk where participant engagement has begun and/or is ongoing.

  2. Studies involving the collection and storage of personal health information. 

  3. Studies that use deception.

  4. Multi-year studies where there are new participant pools each year.

  5. Longitudinal studies where a Researcher follows the same participants for multiple years. 

  6. Studies that are conducted by a Researcher with multiple active Protocols.

Where a PI has multiple, active protocols, Research Randomizer may be used to identify one study to audit. 

In addition to assessing compliance with REB-approved research studies, University policies and procedures and applicable legislation, Routine Audits are conducted:

  • To identify areas of Noncompliance, if any, based on Audit Observations.
  • To suggest Corrective Actions on Noncompliance as required.
  • To suggest best practices.
     

Directed audits

Directed Audits are related to the ethical conduct of research are conducted following a request from a senior University administrator, an REB Chair(s), a relevant director(s), a Researcher, and/or a research participant or potential participant. The focus of the Directed Audit will depend on the nature and scope of the request. 

In addition to assessing compliance with REB-approved research studies, University policies and procedures and applicable legislation, routine audits are conducted:

  • To identify areas of Noncompliance, if any, based on Audit Observations.
  • To suggest Corrective Actions on Noncompliance as required.
  • To suggest best practices.
     

Corrective Actions

Upon completion of an Audit, and based on Final Audit Observations, Corrective Actions may be required.

Where applicable, the Research Compliance Specialist will follow up on Audits to verify the implementation of Corrective Actions.

Audit Documents

If you need any documents below in an alternate format, please contact the Research Compliance Specialist at Marion.Kiprop@umanitoba.ca

Audit plans

When initiating an audit, the Research Compliance Specialist shares with the PI a study specific audit plan for the study under audit. The study specific audit plan includes details on the protocol, audit objectives, audit scope, audit criteria, study documents required for review, researcher and study personnel interviews, audit reports, and audit follow-up plans. Below are audit plan templates for social and health research and for biomedical research.

Open file: Audit Plan Template for Social and Health Research (PDF)

Open file: Audit Plan Template for Biomedical Research (PDF)
 

Audit report

Following an audit, the Research Compliance Specialist prepares an initial audit report for the PI. The purpose of the initial audit report is to give the PI an opportunity to respond to any audit observations by providing any clarifications, additional information, feedback, and/or proposals for corrective action.

Open file: Initial Audit Report Template (PDF)

Standard Operating Procedures (SOPs)

The Human Research Ethics Compliance Program implements Standard Operating Procedures (SOPs) to achieve greater efficiency and quality in compliance operations. To get copies of the Program’s SOPs contact the Research Compliance Specialist at Marion.Kiprop@umanitoba.ca   

Guidance Documents

If you need any documents below in an alternate format, please contact the Research Compliance Specialist at Marion.Kiprop@umanitoba.ca

Maintaining Human Research Ethics Compliance for Social and Health Research

This document contains pertinent information for staying compliant with approved research protocols, University research policies, procedures, and with applicable contractual obligations. This document applies to Social and Behavioral Sciences, Health Research Involving Interventions, Surveys/Questionnaires, Focus Groups/Interviews, Observations, Quality of Life Research, Prospective and Retrospective Examinations of Medical Records and Other Personal Records, Genetic, Registries, etc. 

Open file: Maintaining Human Research Ethics Compliance for Social and Health Research (PDF)
 

Preparing for a Research Ethics Compliance Audit 

This document summarizes the Human Research Ethics Audit Program. Specifically, this document offers guidance on the following topics:

•    What to expect if your study/protocol is selected for audit. 
•    What happens during an audit.
•    The criteria used to audit studies.  
•    The documents required for review during an audit. 
•    The possible outcome of research compliance audits.  

Open file: Preparing for a Research Ethics Compliance Audit (PDF)
 

Common Compliance Issues for Social and Health Research

This document outlines common compliance issues that researchers face pre-approval and post -approval. Addressing these issues proactively can help you maintain research compliance and avoid potential pitfalls. This document applies to Social and Behavioral Sciences, Health Research Involving Interventions, Surveys/Questionnaires, Focus Groups/Interviews, Observations, Quality of Life Research, Prospective and Retrospective Examinations of Medical Records and Other Personal Records, Genetic, Registries, etc.

Open file: Common Compliance Issues for Social and Health Research (PDF)
 

Audit Tips for Researchers

This list of audit tips aims to provide researchers (PIs and Advisors) with pointers for maintaining human research ethics compliance ultimately contributing to the protection of participants’ rights, safety, and welfare.

Open file: Audit Tips for Researchers (PDF)

 

Upcoming Educational Sessions

Keep an eye out for updates coming soon on new educational opportunities in human research ethics compliance.
 

Other Relevant Units

Contact us

Marion Kiprop

Research Compliance Specialist
Room 403-4 Administration Building
66 Chancellors Circle
University of Manitoba
Winnipeg, MB R3T 2N2 Canada

E: Marion.Kiprop@umanitoba.ca  
T: (204) 599-8300