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BMJ 2005;330 (26 February), doi:10.1136/bmj.330.7489.0-d
Ethics committees, funding agencies, and journal editors often do not require evidence of ethical review for audits, whereas they impose strict ethical considerations in researchso researchers might be tempted to label research as audit. On page 468, Derick Wade argues that differences between audit and research are scarce and largely bureaucratic. He gives several case scenarios of ethical dilemmas, and concludes that ethical aspects should be considered for every action within health systems, and external ethical review sought according to the nature and extent of moral conflict rather that the labelling of a study.
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Credit: MALCOLM WILLETT
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