The Gray Zone Between Quality Improvement and Human Subject Research

AbstractIt has become increasingly difficult to distinguish between human subject research and before-after quality improvement projects that do not require informed consent. Is there a boundary between human subject research and quality improvement projects? If so, is it a sharp line or a gray zone?

Authors

Publication Details

Journal
The Journal of Clinical Ethics
Published
2026-02-16
DOI
https://doi.org/10.1086/739010
Primary Topic
Health Policy Implementation Science
Type
article
Field-Weighted Citation Impact
0.00
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article

The Gray Zone Between Quality Improvement and Human Subject Research

Baddr A. Shakhsheer, Michael O’Connor, Bita Makarachi, Peter Angelos
The Journal of Clinical Ethics
Health Policy Implementation Science
article

The Gray Zone Between Quality Improvement and Human Subject Research

Baddr A. Shakhsheer, Michael O’Connor, Bita Makarachi, Peter Angelos
article en

Abstract

AbstractIt has become increasingly difficult to distinguish between human subject research and before-after quality improvement projects that do not require informed consent. Is there a boundary between human subject research and quality improvement projects? If so, is it a sharp line or a gray zone?

The Journal of Clinical EthicsVol. 37(1)
Industry, innovation and infrastructure
Openalex Percentile: Top 57%
Health Policy Implementation Science
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The Gray Zone Between Quality Improvement and Human Subject Research — Baddr A. Shakhsheer, Michael O’Connor, et al. · The Journal of Clinical Ethics (2026) | TGRS Research Map | TGRS