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Pearls of Wisdom: Patient Case Review Debra Herzan, RN, BSN, OCN, CCRP Alliance Clinical Trials Auditor Alliance, Chicago Office
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Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Jun 20, 2020

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Page 1: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Pearls of Wisdom: Patient Case Review

l  Debra Herzan, RN, BSN, OCN, CCRP l  Alliance Clinical Trials Auditor l  Alliance, Chicago Office

Page 2: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Patient Case Review: Common Problems

l  Incomplete or expired consent document signed by patient.

l  Eligibility criteria are not met. l  Treatment is not given per protocol instructions. l  Cannot verify treatment adherence with oral medications. l  Failure to evaluate response according to the protocol. l  Failure to assess & report adverse events according to

protocol. l  General data quality issues (timeliness, complete,

correct).

Page 3: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Incomplete or expired consent document signed by patient

l  Pearl: Complete and Verify

Page 4: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Eligibility criteria are not met l  Pearl: Source Documentation! If it’s not

documented, it didn’t happen.

Page 5: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Treatment is not given per protocol instructions

l  Pearl: Review the protocol requirements and required AE assessments before each cycle

Page 6: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Cannot verify treatment adherence with oral medications

l  Pearl: Do detective work

Page 7: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Failure to evaluate response according to the protocol

l  Pearl: Review the Criteria for Response, Progression, and Relapse section of the protocol

Page 8: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Failure to assess and report adverse events according to

protocol l  Pearl: Clarify, never guess!

Page 9: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

General Data Quality Issues l  Pearl: Complete→ Review→ Verify→ Submit

Page 10: Pearls of Wisdom: Patient Case Review... · Pearls of Wisdom: Patient Case Review ! Debra Herzan, RN, BSN, OCN, CCRP ! Alliance Clinical Trials Auditor ! Alliance, Chicago Office

Pearls of Wisdom: Patient Case Review

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