Aabb Publications Conflicts Of Interest Disclosure Form For Program Participants printable pdf download

AABB Publications Conflicts of Interest Disclosure Form for Program Participants

Name:

Institution (if other than AABB):

Relationship to AABB (please list all current publications in progress):

Today’s Date:

Introduction: When making recommendations and decisions on behalf of AABB, contributors

to AABB publications should always seek to optimize patient and donor care and safety. The

AABB Publications Policy on Conflicts of Interest and Confidentiality, which is based on the

principle of self-disclosure, is not intended to discourage participation in AABB activities.

Rather, it is designed to safeguard the integrity of AABB’s publications by requiring certain

individuals to disclose actual and apparent conflicts of interest. Your understanding of the policy

and compliance with its provisions are key to safeguarding the integrity of AABB’s publications.

What conflicts need to be disclosed: Below you will find the definition of financial interest

that appears in the policy as well as illustrative examples of actual or apparent financial,

professional and personal conflicts of interest. In determining whether you have an obligation to

disclose, you should consider: 1) the definitions and examples below; and 2) whether the interest

or relationship in question has the potential to affect decisions you make on behalf of AABB or

its publications.

Financial

Financial interests are defined as direct financial holdings (exclusive of mutual funds) valued at

$15,000.00 or greater in any medical and biomedical companies—including companies whose

activities are addressed in any of AABB’s standards or in the publication for which the

contributor has contracted with AABB or AABB Press (e.g., medical device companies,

information technology companies that produce medical software)—that are held by any

contributor or the spouse, partner or minor children of any contributor or someone with whom

the contributor directly shares income.

Other Financial Conflicts:

●

Paid consultancy or expert testimony within the past two years.

●

Research funding (identify subject matter and funding organization, if permissible).

●

Honoraria, or gifts exceeding $100 in value per engagement directly received from an entity.

●

Royalties.

Professional

●

Membership on another entity’s board of directors or its advisory committees (whether for

profit or not for profit).

●

Employment with another entity within the last two years.

Personal

●

Close personal relationships that are likely to interfere or appear to interfere with the

independent judgment you use when making decisions on behalf of AABB.

Aabb Publications Conflicts Of Interest Disclosure Form For Program Participants

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