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Clinical research documentation

We must be sure to document our efforts and our findings. Clinical researchdocumentation is a continually expanding industry because of growing biotechnology.

Salaries are paid based on ones qualification and also on their background and education.If you have the experience, flexible job options (home based, part-time, consultant) are

available. Travel and in-house jobs are available too.

Clinical research documentation- job profile.

The job profile could be that of a data coordinator, clinical data reviewer, medical

communications consultant, drug safety specialist, or clinical research coordinatordepending on your qualification and experience.

Research conditions keep changing over time and documentation should reflect all the

research practices. So, the ongoing clinical research and the progress must bedocumented. Clinical research documentation is also useful for other purposes such asinsurance, lawyers and other physicians. Laboratory, imaging and specialist consults

must also be included in the documents. The clinical impressions and the case progress

should be incorporated in a clinical research document.

The document should accurately reflect clinical thought processes and should documentthe persons status and how the patient has progressed since research was initiated. This

aspect of documentation should not be neglected and correct charting will help in

successful researching.

A Clinical Research Associate (CRA) is an individual who oversees the progress andconduction of a clinical trial that is usually implemented by physicians at hospitals,

clinics, or research foundations. The CRA frequently has a background of nursing,

medical technology, physical therapy, bachelor's, masters, or a Ph.D. in a science and isemployed by a pharmaceutical company, research organizations, or an academic

institution. A CRA plays an important role in documenting drug development and thus

marketing the tested drugs. The demand for trained CRAs is growing but the availability

is quite limited.

Documents should have easy data entry procedures and simple review procedures.

Abbreviations can be used, but should be standardized. Interpretation by others should be

possible. Documents can be of great use when other specialists need information on theresearch.

Responsibilities may include the following:

Monitoring that the research follows proper clinical practices and the maintenance

of accurate protocol.

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Perform a study on drug (drug under study) liability;

Verify that the documentation of the informed consent process for each study

subject is accurate and periodic.

See that all the adverse experiences are correctly reported and documented

Check the completeness and accuracy of the case report.

Monitor that the documentation is done every day or periodically. Try to increase the uses and the efficiency of clinical documentation.

Ensure efficient chart organization.

Check efficient chart renewal.

There are two problems involved with research-oriented recordkeeping. First of all, ittakes practice and time to learn to use it effectively. This could stop research

organizations from adopting such a system, especially when it involves modifying

existing documents and documentation practices. The second disadvantage is that it needsan extra time for day-to-day chart entries. When documentation is not done, either the

research steps get forgotten or wrongly interpreted. Sometimes it could be concluded that

a particular incident did not occur at all.

Chillibreeze's disclaimer: The views and opinions expressed in this article are those of theauthor(s) and do not reflect the views of Chillibreeze as a company. Chillibreeze has a

strict anti-plagiarism policy. Please contact us to report any copyright issues related to

this article.