Who can complete this task?
  • Clinical Basics: CTMS Vault Admin, Clinical Basics: Study Manager, Clinical Basics: Monitor

You may identify safety, protocol implementation, or other issues during a monitoring visit or between visits. When this happens, you need to document those issues, either as Protocol Deviations or Observations.

  • Protocol Deviation - something that breaks the protocol standards.
  • Observation - something that should be checked, but is not a direct violation of protocol.

When you create a protocol deviation or observation, you will specify a category and sub category for the issue. This table shows the categories and sub categories available in Veeva Clinical Basics: CTMS.

Category Sub Category
Safety Failure to withdraw participant meeting discontinuation criteria
Safety Safety event not reported to IRB per policy
Safety Safety event not reported within protocol-defined timelines
Informed Consent Consent form or process has insufficient documentation
Informed Consent Consent form signed by participant was not current approved version
Informed Consent Failure to obtain informed consent prior to study-specific procedures
Informed Consent Failure to obtain reconsent
Eligibility Criteria Participant enrolled did not meet all inclusion criteria
Eligibility Criteria Participant enrolled met one or more exclusion criteria
Protocol Implementation Enrollment prior to IRB approval of protocol
Protocol Implementation GCP violation
Protocol Implementation Incorrect or incomplete IRT / enrollment process
Protocol Implementation Missed assessment
Protocol Implementation Missed visit
Protocol Implementation Participant seen outside of visit window
Protocol Implementation Regulatory or training documentation missing
Protocol Implementation Use of prohibited medication or interventions
Protocol Implementation Visit / Procedure / Assessment not performed as defined in the protocol or supporting study documents
Investigational Product Dosing compliance issue noted
Investigational Product Failure to return IP by participant
Investigational Product Improper storage, handling, or dispensing of IP
Investigational Product IP documentation insufficiency
Investigational Product Participant received incorrect IP / dose
Investigational Product Use / dispensing of damaged or expired IP