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Study Management Checklist Protocol: PROTOCOL/STUDY MANAGEMENT- PRE-INITIATION DOCUMENTATION Qualification Visit documentation Standard Operation Procedures and/or internal departmental procedures/processes Signed Form FDA 1572 CVs of investigators listed on the 1572 and all team members Signed Financial Disclosure Forms Signed Conflict of Interest Statements Documentation of Research Ethics; Protocol and GCP Training (if applicable) Signed protocol Investigator's brochure IRB approval/correspondence IRB approved consent form IRB membership roster Laboratory certification and normal values ADMINISTRATIVE Investigator Agreements Confidentiality Agreements Contract Budget SET UP SUBJECT RECRUITMENT Department meetings Advertisements Letters to physicians CONTACTS AND INSERVICE Pharmacy Nursing Physicians Laboratory Page 1 of 4 Study Management Checklist Protocol: PROTOCOL PREPARATION Visit worksheets Patient log Protocol summary (contacts, purpose, inclusion and exclusion criteria) Drug administration summary (contacts, adverse effects, administration) Special lab work requisitions (if required) Pre-printed physicians orders, as appropriate Randomization table, as appropriate PROTOCOL MANAGEMENT: ACTIVE STUDY CHANGES IN INVESTIGATORS, LABORATORIES, ETC., LISTED ON FORM 1572 Form FDA 1572 revised and signed IRB notified of the change IRB approval of the change Copy of revised 1572 and IRB notification and approval in study files PROTOCOL CHANGES/AMENDMENTS AND SAFETY UPDATES Investigator signed amendment and copy sent to sponsor Letter to IRB notifying them of each revision or update Approval letter for each revision received from IRB prior to instituting change Consent form revised to reflect the changes, as applicable Changed consent approved by IRB IRB activity log updated Copies of letters to IRB, IRB approval and approved revised consent on file Copies of IRB approval sent to sponsor Copies of Adverse/Unanticipated Events/Protocol Violation/Deviation/Waiver/Exception to IRB, IRB acknowledgement of receipt Monitoring Visit pre and post visit letters Data Queries requested and completed Copies of, or completed Case Report/Data Collection Forms (all versions) Page 2 of 4 Study Management Checklist Protocol: DRUG LOGS File shipping records Drug accountability records updated as appropriate SPECIMEN LOGS Specimen shipping records Specimen storage records Temperature Logs CORRESPONDENCE / MEETINGS Copies of all letters written and received on file Site visit logs on file Telephone logs maintained Internal correspondence, meeting minutes, training – re-training documentation Newsletters SENSITIVE DATA (TO BE KEPT IN A SECURE AREA WITH LIMITED ACCESS) Copies of informed consent from each patient on file Laboratory data (EKGS, blood tests, etc.) that contain patient identifiers Patient logs Any document that contains a patient name and/or indentifying information Page 3 of 4 Study Management Checklist Protocol: PROTOCOL MANAGEMENT: STUDY CLOSE OUT Copies of all regulatory documents as listed in previous pages on file Drug inventory completed, including drug return forms Return drug to sponsor or as directed Case report forms completed, signed, and copies to sponsor Data entry and clean-up completed, as appropriate IRB and other departments notified in writing Completed Data Fax forms Data Query Resolution Data lock Prepartion of Records for Archiving Master Subject Logs Current Code breaks appropriately documented Unblind Team members Archived or Destroyed Specimen Storage Study Documents long term storage Budget revenue received; appropriately billed for; payments made; and all information recorded Page 4 of 4