Yeah, it seems pretty stupid that such an amazingly effective change it treatment would warrant this kind of negative reaction from the government. If a hospital changes the way doctors write up their charts to make previous treatment more visible, is that considered a "drug trial" like this?
Regardless, unlike testing drugs on people without their consent, using a checklist or other types of charting has practically zero chance of causing death.
http://www.nytimes.com/2007/12/30/opinion/30gawande.html?ex=...
Seems like the "Office for Human Research Protections" should remember: "First, do no harm."