SlideShare a Scribd company logo
PREVIOUS NEXTPREVIOUS NEXT
Business and Operational risks in
handling pharmaceutical information
17TH November 2011
Adrian Hampshire, BioPharm
Parambir Singh, BioPharm
Rob van Manen, Oracle
PREVIOUS NEXT
Risk โ€“ a definition
โ— a situation involving exposure to danger
โ— the possibility that something unpleasant or unwelcome will happen
(Oxford English Dictionary)
PREVIOUS NEXT
Outline
โ— What are business and operational risks?
o Broad scope
โ€ข e.g. What risks do you run if you donโ€™t have a particular
system or process in place?
o Narrow scope
โ€ข e.g. What risks do you run when implementing a complex
system or process?
โ— What are some of the impacts if a risk occurs?
โ— How can we reduce the risks?
โ— What do we do about residual risks?
PREVIOUS NEXT
Key steps and processes involved in
a clinical trial
โ€ข Trial design and planning
โ€ข Obtaining regulatory approval
โ€ข Planning and manufacturing/acquiring study drug
โ€ข Recruiting investigators (enrolment, screening, inclusion)
โ€ข Site start-up
โ€ข Recruiting patients
โ€ข Administering drug
โ€ข Registering results
โ€ข Raising and responding to data queries
โ€ข Monitoring safety
โ€ข Monitoring site execution
โ€ข Verifying source document
โ€ข Assembling results
โ€ข Reconciliation
โ€ข Analysing results
โ€ข Reporting the trial
โ€ข Closing the study
Each of these steps involves an
individual process that is more or less
complex.
Each process is supported/enabled
by one or more IT or manual
systems.
Each step therefore carries a number
of key risks.
PREVIOUS NEXT
Key risks
1. The step is not executed at all
Simple example: If there is no process and system
for monitoring safety, patients are put at risk.
2. The step is executed incorrectly or
incompletely
Simple example: If the design of the trial is
inadequate or inappropriate, the results of the
study may not answer the question that the study
was designed to answer.
Conclusion:
We need a robust and complete set of
process and systems to support those
processes throughout the lifecycle of the
study.
PREVIOUS NEXT
Change = Risk
Implementing a new process and system(s)
= change
Change = Risk
Risks are:
โ— Strategic risks
โ— Programme risks
โ— Operational risks
โ— Project risks
PREVIOUS NEXT
Management of risk
Four key actions:
โ— Identify the risk
โ— Assess the impact
โ— Reduce the impact
โ— Plan to handle the risks that canโ€™t be eliminated
Optional fifth key action:
โ— Outsource the risk
PREVIOUS NEXT
Outsourcing risk
Sponsor outsources the trial to a CRO
โ— The sponsor is paying the CRO to take on the risk, for a price.
Sponsor or CRO deploys a system to help manage any
of the clinical trial processes
โ— They โ€œoutsourceโ€ a proportion of the risk to the developer/
vendor of the system, again, for a price.
In both cases, the organisation shares the risk with a
supplier who, because they have executed the process
many times or have built the software through many
iterations over many years, consequently run a much
reduced level of risk.
CAVEAT: If key processes of the trial are outsourced, we
need to be clear who โ€œownsโ€ the risk and takes
responsibility for addressing it.
PREVIOUS NEXT
Commercial packages reduce risk
A pre-packaged solution:
โ— Built on best practices
โ— Delivers probably 80% of what the customer needs
โ— Gives the organisation the choice to
o configure the system to meet the missing 20%
o change their process such that the 80% provided by the pre-
packaged solution meets 100% of requirements
โ— Greatly reduces the risk because all prior implementations
and the design choices and changes made as a result of
these projects have already incurred those risks
โ— Reduces validation and testing requirements because
much of this is address when the pre-packaged solution is
constructed
โ— Has the potential to speed up the implementation by an
order of magnitude.
o Example: ASCEND reduces implementation time from 8-10
months to 8-10 weeks
PREVIOUS NEXT
Two examples in detail
ASCEND
โ— Reducing risk by implementing a pre-configured
version of a complex CTMS solution (Siebel
Clinical)
Parambir Singh, Vice President, Clinical Trial
Management Solutions at BioPharm Systems
Argus Safety and Empirica Signal
โ— Reducing risk by implementing a commercially
available, proven and market-leading safety and
risk management solution suite
โ— Rob van Manen, Master Principal Sales
Consultant at Oracle HSGBU
PREVIOUS NEXT
Introduction
A CTMS helps mitigate the risks of:
โ— Skipping a step
โ— Executing a step incorrectly
Siebel Clinicalโ€™s design is particularly helpful at mitigating risk
โ— Template-driven
A pre-packaged version of Siebel Clinical, such as ASCEND, further
mitigates risk
โ— Industry standards and best practices
PREVIOUS NEXT
Agenda
Topic
Introduction & Agenda
Recruiting Investigators
Site Start-Up
Recruiting Patients
Monitoring Site Execution
Closing the Study & Conclusion
PREVIOUS NEXT
Recruiting Investigators
Assessment Templates: Standardized evaluation criteria
and answer choices
โ— Ensure investigators are evaluated consistently and objectively
โ— Complete one assessment multiple times or several different
assessments for each investigator
โ— Associate a percentage score with each investigator
Siebel Clinical
PREVIOUS NEXT
Recruiting Investigators
Target Lists: Complex investigator searches
โ— Allow users to search for investigators:
o in the right location
o with the right patient population
o with the right experience
o with the right assessment scores
ASCEND
PREVIOUS NEXT
Site Start-Up
Activity Templates: Standardized sets of tasks and
documents
โ— Reflect content of SOPs
โ— Ensure same tasks are completed and same documents are
collected across all sites
โ— Can have separate templates for each country to reflect different
requirements
Siebel Clinical
PREVIOUS NEXT
Site Start-Up
Activities & Document Tracking: Focused tracking areas
โ— Utilizing the SC separate views due to different tracking needs for
activities vs. documents
โ— Tailored fields and field dropdown choices in each view
โ— Document Tracking Screen which includes all documents also
includes indication of what level the document is related to
ASCEND
PREVIOUS NEXT
Recruiting Patients
Subject Visit Templates: Standardized subject visit
schedules and payment amounts
โ— Created per protocol and applied to each site and patient
o Can be versioned to reflect protocol amendments
โ— Payment amounts can be modified at the site level (modifications
are documented)
โ— Payment process ensures no visits are paid for more than once
Siebel Clinical
PREVIOUS NEXT
Recruiting Patients
Subject Information: Improved tracking
โ— Able to record IRB Approval dates for protocol amendments that
do not affect the visit schedule and therefore do not require new
Informed Consent
โ— Able to track individual subject treatment arms and change
treatment arms mid-study
โ— Able to track details about subject-specific protocol deviations and
adverse events
ASCEND
PREVIOUS NEXT
Monitoring Site Execution
Trip Report Templates: Standardized tasks and questions
โ— Reflect content of SOPs
โ— One template for each type of visit
โ— Created centrally and then applied to each site visit record
โ— Ensure same information is recorded, tasks are completed, and
questions are answered for each visit type across all sites
Siebel Clinical
PREVIOUS NEXT
Monitoring Site Execution
Trip Report Completion: Expanded to include more
information
โ— Separated yes/no questions from narrative response questions
โ— Allow relevant PD, SAE, Follow-Up Item, and CRF Tracking records
to be imported as a snapshot in time
โ— Records complete approval history audit trail to comply with 21
CFR Part 11
ASCEND
PREVIOUS NEXT
Closing the Study
Activity Templates: Standardized sets of tasks and
documents
โ— Reflect content of SOPs
โ— Ensure same tasks are completed and same documents are
collected across all sites
โ— Can have separate templates for each country to reflect different
requirements
โ— Rollup views allow quick access to subject, site, and
country/region statuses to confirm all child records are in a
terminal status
Siebel Clinical
PREVIOUS NEXT
Closing the Study
Activities & Document Tracking: Focused tracking areas
โ— Utilizing the SC separate views due to different tracking needs for
activities vs. documents
โ— Tailored fields and field dropdown choices in each view
โ— Document Tracking Screen which includes all documents also
includes indication of what level the document is related to
ASCEND
PREVIOUS NEXT
Conclusion
โ€ข Implementing a CTMS helps to mitigate risk by
providing a central location for clinical trial
management information
โ€ข Siebel Clinical is particularly helpful at mitigating risk
due to its template-driven design
โ€ข A pre-packaged version of Siebel Clinical, such as
ASCEND, further mitigates risk by adhering to industry
best practices and including commonly-requested
enhancements right out of the box
PREVIOUS NEXT
Introduction
A case processing system can help mitigate process-related
compliance risks, such as:
โ— Failing to comply with adverse reaction regulations
- Failing to report certain cases
- Failing to comply with regulatory reporting deadlines
A signal detection environment can contribute in mitigating
product-related risks, such as:
โ— Failing to timely detect product-related adverse reactions
- Failing to perform correct clinical assessment of potential signals
- Failing to take appropriate action and document this
PREVIOUS NEXT
Case Processing
Activities:
โ— Data collection and entry
โ— Coding
โ— Medical review
โ— Reporting
PREVIOUS NEXT
Case Processing: Data Entry
Risks and safeguards:
โ— Incomplete data: Data completeness checking
- Avoid missing key information such as patient, product,
event or reporter
โ— Incorrect data: Data correctness checking
- Dates and numbers
- Upper and lower boundaries
โ— Inconsistent data: Data consistency checking
- Starting and ending dates; continuing exposure/event
- Seriousness criteria
PREVIOUS NEXT
Case Processing: Coding
Risks and safeguards:
โ— Incorrect coding
- Use of auto-encoders, supporting powerful multi-step coding
algorithms
- Use of coding review procedures
โ— Inconsistent coding
- Use of standard synonym lists
- Code propagation capabilities
PREVIOUS NEXT
Case Processing: Medical review
Risks and safeguards:
โ— Incorrect assessment of reportability
- Providing all relevant information in an easily accessible way
โ— Undocumented assessments
- Importance of easy to use functionality to capture medical
assessment results (including audit trail)
PREVIOUS NEXT
Case Processing: Regulatory reporting
Risks and safeguards:
โ— Reports not submitted
- Automatic report requests based on regulatory requirements
โ— Reports submitted too late
- Report tracking with reminder capabilities
โ— Incorrect report type, e.g. periodic versus expedited reporting
- Reportability assessment combined with automatic report requests
โ— Reports not adequately documented for auditing purposes
- Built-in report tracking and auditing
PREVIOUS NEXT
Signal Detection
Background:
โ— Regulators have published signal detection guidance documents and are
in the process of implementing signal detection requirements
โ— Regulators are performing quantitative signal detection themselves and
have been confronting companies with potential signals
PREVIOUS NEXT
Regulatory Guidance on Signal Detection
PREVIOUS NEXT
Examples of Regulatory and Public-Private Initiatives
Europe:
โ— ENCePP (European Network of Centres for Pharmacoepidemiology and
Pharmacovigilance)
โ— IMI-PROTECT (Innovative Medicines Initiative - Pharmacoepidemiological
Research on Outcomes of Therapeutics by a European Consortium)
โ— EU-ADR
US:
โ— Sentinel and Mini-Sentinel
โ— Observational Medical Outcomes Partnership (OMOP)
Japan:
โ— Mihari
PREVIOUS NEXT
Signal Detection Activities by Regulators
PREVIOUS NEXT
Signal Detection Activities by Regulators
PREVIOUS NEXT
Signal Detection Activities by Regulators
โ— FDA
o Empirica Signal in production at CDER, CBER, CDRH and CFSAN - quarterly
overview of potential signals currently under evaluation
o Empirica Study and WebSDM in production at CDER and CBER
โ— EMA โ€“ EudraVigilance
o In-house developed quantitative signal detection tools (PRR)
โ— MHRA
o Empirica Signal โ€“ Signal Management in production โ€“ Drug Analysis Prints
โ— MHLW โ€“ PMDA
o Developing quantitative signal detection tools as part of the Mihari initiative
โ— Other countries:
o Netherlands (Lareb): In-house quantitative signal detection tools (ROR)
PREVIOUS NEXT
Signal Detection: Risks and Safeguards
Risks:
โ— Non-compliance with current regulatory guidelines and upcoming
regulations with respect to quantitative safety signal detection
โ— Previously unknown signals identified by regulators through quantitative
safety signal detection
Safeguards:
โ— Implementation of processes and systems for standardized, systematic,
documented quantitative signal detection and signal management
โ— Application of methods and systems for data cleaning and signal
detection as similar as possible to those used by the authorities
PREVIOUS NEXT
Questions?

More Related Content

What's hot

Managing non conformities through , how to reduce element that lowers quality
Managing non conformities through , how to reduce element that lowers qualityManaging non conformities through , how to reduce element that lowers quality
Managing non conformities through , how to reduce element that lowers quality
chakalisa chicho
ย 
Process hazard analysis (pha)
Process hazard analysis (pha)Process hazard analysis (pha)
Process hazard analysis (pha)
Anand kumar
ย 
Corrective & Preventive Action
Corrective & Preventive Action Corrective & Preventive Action
Corrective & Preventive Action
Praneet Surti
ย 
6 methods for CAPAs effectiveness verification
6 methods for CAPAs effectiveness verification6 methods for CAPAs effectiveness verification
6 methods for CAPAs effectiveness verification
Paolo Croce
ย 
Process Hazard Analysis
Process Hazard AnalysisProcess Hazard Analysis
Process Hazard Analysis
NGE
ย 
RBM 101 Infographic FINAL 2016
RBM 101 Infographic FINAL 2016RBM 101 Infographic FINAL 2016
RBM 101 Infographic FINAL 2016Lauren Carr
ย 
Process hazard analysis 13,47
Process hazard analysis 13,47Process hazard analysis 13,47
Process hazard analysis 13,47
Anand kumar
ย 
Operating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive ActionsOperating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive Actions
Atanu Dhar
ย 
How to Create a Risk-Based CAPA Process
How to Create a Risk-Based CAPA ProcessHow to Create a Risk-Based CAPA Process
How to Create a Risk-Based CAPA Process
Greenlight Guru
ย 
CAPA (Corrective and Preventive Action) Management : Tonex Training
CAPA (Corrective and Preventive Action) Management : Tonex TrainingCAPA (Corrective and Preventive Action) Management : Tonex Training
CAPA (Corrective and Preventive Action) Management : Tonex Training
Bryan Len
ย 
Hazop suplimentry study
Hazop suplimentry studyHazop suplimentry study
Hazop suplimentry study
Aneel Ahmad
ย 
Reliability Maintenance Engineering 3 - 2 Root Cause Analysis
Reliability Maintenance Engineering 3 - 2 Root Cause AnalysisReliability Maintenance Engineering 3 - 2 Root Cause Analysis
Reliability Maintenance Engineering 3 - 2 Root Cause Analysis
Accendo Reliability
ย 
06 overview of_ra1
06 overview of_ra106 overview of_ra1
06 overview of_ra1
Anil Raina
ย 
Phc & jha (1)
Phc & jha (1)Phc & jha (1)
Phc & jha (1)
kyne francis
ย 
How to solve problems (or at least try) with 8D
How to solve problems (or at least try) with 8DHow to solve problems (or at least try) with 8D
How to solve problems (or at least try) with 8D
Stefan Kovacs
ย 
Capa presentation
Capa presentationCapa presentation
Capa presentation
Dr. P.K. NARASIMHA RAGHAVAN
ย 
CAPA: A Risk Mitigating Quality System
CAPA: A Risk Mitigating Quality SystemCAPA: A Risk Mitigating Quality System
CAPA: A Risk Mitigating Quality System
Institute of Validation Technology
ย 
CAPA Pitfalls and Keys
CAPA Pitfalls and KeysCAPA Pitfalls and Keys
CAPA Pitfalls and KeysGeoff Habiger
ย 

What's hot (20)

Managing non conformities through , how to reduce element that lowers quality
Managing non conformities through , how to reduce element that lowers qualityManaging non conformities through , how to reduce element that lowers quality
Managing non conformities through , how to reduce element that lowers quality
ย 
Process hazard analysis (pha)
Process hazard analysis (pha)Process hazard analysis (pha)
Process hazard analysis (pha)
ย 
Corrective & Preventive Action
Corrective & Preventive Action Corrective & Preventive Action
Corrective & Preventive Action
ย 
6 methods for CAPAs effectiveness verification
6 methods for CAPAs effectiveness verification6 methods for CAPAs effectiveness verification
6 methods for CAPAs effectiveness verification
ย 
Process Hazard Analysis
Process Hazard AnalysisProcess Hazard Analysis
Process Hazard Analysis
ย 
Fda validation inspections
Fda validation inspectionsFda validation inspections
Fda validation inspections
ย 
RBM 101 Infographic FINAL 2016
RBM 101 Infographic FINAL 2016RBM 101 Infographic FINAL 2016
RBM 101 Infographic FINAL 2016
ย 
Process hazard analysis 13,47
Process hazard analysis 13,47Process hazard analysis 13,47
Process hazard analysis 13,47
ย 
Operating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive ActionsOperating Excellence is built on Corrective & Preventive Actions
Operating Excellence is built on Corrective & Preventive Actions
ย 
How to Create a Risk-Based CAPA Process
How to Create a Risk-Based CAPA ProcessHow to Create a Risk-Based CAPA Process
How to Create a Risk-Based CAPA Process
ย 
CAPA (Corrective and Preventive Action) Management : Tonex Training
CAPA (Corrective and Preventive Action) Management : Tonex TrainingCAPA (Corrective and Preventive Action) Management : Tonex Training
CAPA (Corrective and Preventive Action) Management : Tonex Training
ย 
Hazop suplimentry study
Hazop suplimentry studyHazop suplimentry study
Hazop suplimentry study
ย 
Capa
CapaCapa
Capa
ย 
Reliability Maintenance Engineering 3 - 2 Root Cause Analysis
Reliability Maintenance Engineering 3 - 2 Root Cause AnalysisReliability Maintenance Engineering 3 - 2 Root Cause Analysis
Reliability Maintenance Engineering 3 - 2 Root Cause Analysis
ย 
06 overview of_ra1
06 overview of_ra106 overview of_ra1
06 overview of_ra1
ย 
Phc & jha (1)
Phc & jha (1)Phc & jha (1)
Phc & jha (1)
ย 
How to solve problems (or at least try) with 8D
How to solve problems (or at least try) with 8DHow to solve problems (or at least try) with 8D
How to solve problems (or at least try) with 8D
ย 
Capa presentation
Capa presentationCapa presentation
Capa presentation
ย 
CAPA: A Risk Mitigating Quality System
CAPA: A Risk Mitigating Quality SystemCAPA: A Risk Mitigating Quality System
CAPA: A Risk Mitigating Quality System
ย 
CAPA Pitfalls and Keys
CAPA Pitfalls and KeysCAPA Pitfalls and Keys
CAPA Pitfalls and Keys
ย 

Viewers also liked

Jap Product Line
Jap Product LineJap Product Line
Jap Product Line
Leo de Leon
ย 
Isurus Competitive Differentiation Mapping Overview
Isurus Competitive Differentiation Mapping OverviewIsurus Competitive Differentiation Mapping Overview
Isurus Competitive Differentiation Mapping OverviewRadwich
ย 
The Right Contact
The Right ContactThe Right Contact
The Right Contact
therightcontact
ย 
SHOWTIME!
SHOWTIME!SHOWTIME!
SHOWTIME!
ANA SILVA
ย 
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
Drthomasbrand Limited
ย 
Concrete In Words......
Concrete In Words......Concrete In Words......
Concrete In Words......
Concrete-official
ย 
Coloured contact lens
Coloured contact lensColoured contact lens
Coloured contact lens
farisfrn
ย 
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
Spearhead Acuity - Business Research & Consulting
ย 
Body parts lesson by Sylvia Cintron
Body parts lesson by Sylvia CintronBody parts lesson by Sylvia Cintron
Body parts lesson by Sylvia Cintron
Jose Cintron
ย 
Why Replication is Not Enough to Keep Your Business Running
Why Replication is Not Enough to Keep Your Business Running Why Replication is Not Enough to Keep Your Business Running
Why Replication is Not Enough to Keep Your Business Running
Axcient
ย 
Hydrogels and silicone hydrogels
Hydrogels and silicone hydrogelsHydrogels and silicone hydrogels
Hydrogels and silicone hydrogels
CHURAWAN LAL SAHU
ย 
Business Structure
Business StructureBusiness Structure
Business Structure
Jeffrey Glazer
ย 
CONCEPT PAVILION
CONCEPT PAVILIONCONCEPT PAVILION
CONCEPT PAVILION
COLLABORATIVE ARCHITECTURE
ย 

Viewers also liked (13)

Jap Product Line
Jap Product LineJap Product Line
Jap Product Line
ย 
Isurus Competitive Differentiation Mapping Overview
Isurus Competitive Differentiation Mapping OverviewIsurus Competitive Differentiation Mapping Overview
Isurus Competitive Differentiation Mapping Overview
ย 
The Right Contact
The Right ContactThe Right Contact
The Right Contact
ย 
SHOWTIME!
SHOWTIME!SHOWTIME!
SHOWTIME!
ย 
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
A View On Brand Portfolio Management, Innovation, Profitability And Corporate...
ย 
Concrete In Words......
Concrete In Words......Concrete In Words......
Concrete In Words......
ย 
Coloured contact lens
Coloured contact lensColoured contact lens
Coloured contact lens
ย 
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
Global Contact Lenses & Intraocular Lenses Market Assessment & Forecast 2015 ...
ย 
Body parts lesson by Sylvia Cintron
Body parts lesson by Sylvia CintronBody parts lesson by Sylvia Cintron
Body parts lesson by Sylvia Cintron
ย 
Why Replication is Not Enough to Keep Your Business Running
Why Replication is Not Enough to Keep Your Business Running Why Replication is Not Enough to Keep Your Business Running
Why Replication is Not Enough to Keep Your Business Running
ย 
Hydrogels and silicone hydrogels
Hydrogels and silicone hydrogelsHydrogels and silicone hydrogels
Hydrogels and silicone hydrogels
ย 
Business Structure
Business StructureBusiness Structure
Business Structure
ย 
CONCEPT PAVILION
CONCEPT PAVILIONCONCEPT PAVILION
CONCEPT PAVILION
ย 

Similar to Business and Operational Risks in Pharmaceutical Information

Risk and quality management Genius Ribam
Risk and quality management Genius RibamRisk and quality management Genius Ribam
Risk and quality management Genius Ribam
Tomasz Moj
ย 
Heather Woodward Slides from AHRQ Kick-Off
Heather Woodward Slides from AHRQ Kick-OffHeather Woodward Slides from AHRQ Kick-Off
Heather Woodward Slides from AHRQ Kick-Off
ShawnHoke
ย 
CTFL chapter 05
CTFL chapter 05CTFL chapter 05
CTFL chapter 05
Davis Thomas
ย 
Creating Functional Testing Strategy.pptx
Creating Functional Testing Strategy.pptxCreating Functional Testing Strategy.pptx
Creating Functional Testing Strategy.pptx
Mohit Rajvanshi
ย 
App. Of Stat. Tools
App. Of Stat. ToolsApp. Of Stat. Tools
App. Of Stat. ToolsDenny Thayil
ย 
Fundamentals_of_Software_testing.pptx
Fundamentals_of_Software_testing.pptxFundamentals_of_Software_testing.pptx
Fundamentals_of_Software_testing.pptx
MusaBashir9
ย 
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
TRI, the risk-based monitoring company
ย 
Fundamental Test Process
Fundamental Test ProcessFundamental Test Process
Fundamental Test Process
Nadia Chairunissa
ย 
2 anton muzhailo - formal test process improvement. how to invest to the te...
2   anton muzhailo - formal test process improvement. how to invest to the te...2   anton muzhailo - formal test process improvement. how to invest to the te...
2 anton muzhailo - formal test process improvement. how to invest to the te...
Ievgenii Katsan
ย 
CRO and Vendor Oversight: Clinical
CRO and Vendor Oversight: ClinicalCRO and Vendor Oversight: Clinical
CRO and Vendor Oversight: Clinical
Manjusha Chowdhury
ย 
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...Perficient
ย 
Fundamentals of software testing
Fundamentals of software testingFundamentals of software testing
Fundamentals of software testing
Transpose Solutions Inc
ย 
Types of Testing
Types of TestingTypes of Testing
Types of Testing
Murageppa-QA
ย 
t map brief
t map brieft map brief
t map brief
Nivedha Ravi
ย 
TRI Webinar: RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
TRI Webinar:  RBM - Protocol Risk Assessment and Designing Site Quality Risk ...TRI Webinar:  RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
TRI Webinar: RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
TRI, the risk-based monitoring company
ย 
Using the test process improvement models. Case study based on TPI Next model...
Using the test process improvement models. Case study based on TPI Next model...Using the test process improvement models. Case study based on TPI Next model...
Using the test process improvement models. Case study based on TPI Next model...
Sigma Software
ย 
Audits & Inspections_Katalyst HLS
Audits & Inspections_Katalyst HLSAudits & Inspections_Katalyst HLS
Audits & Inspections_Katalyst HLS
Katalyst HLS
ย 
6_Kimberly Todd - QA and QC.pptx
6_Kimberly Todd - QA and QC.pptx6_Kimberly Todd - QA and QC.pptx
6_Kimberly Todd - QA and QC.pptx
JoiGirish1
ย 
Fundamentaltestprocess windirohmaheny11453205427 kelase
Fundamentaltestprocess windirohmaheny11453205427 kelaseFundamentaltestprocess windirohmaheny11453205427 kelase
Fundamentaltestprocess windirohmaheny11453205427 kelase
windi rohmaheny
ย 

Similar to Business and Operational Risks in Pharmaceutical Information (20)

Risk and quality management Genius Ribam
Risk and quality management Genius RibamRisk and quality management Genius Ribam
Risk and quality management Genius Ribam
ย 
Heather Woodward Slides from AHRQ Kick-Off
Heather Woodward Slides from AHRQ Kick-OffHeather Woodward Slides from AHRQ Kick-Off
Heather Woodward Slides from AHRQ Kick-Off
ย 
CTFL chapter 05
CTFL chapter 05CTFL chapter 05
CTFL chapter 05
ย 
Creating Functional Testing Strategy.pptx
Creating Functional Testing Strategy.pptxCreating Functional Testing Strategy.pptx
Creating Functional Testing Strategy.pptx
ย 
CV_KannanK
CV_KannanKCV_KannanK
CV_KannanK
ย 
App. Of Stat. Tools
App. Of Stat. ToolsApp. Of Stat. Tools
App. Of Stat. Tools
ย 
Fundamentals_of_Software_testing.pptx
Fundamentals_of_Software_testing.pptxFundamentals_of_Software_testing.pptx
Fundamentals_of_Software_testing.pptx
ย 
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
RbM Webinar Slides- A Practical Guide for Getting Your RBM Program Up and Run...
ย 
Fundamental Test Process
Fundamental Test ProcessFundamental Test Process
Fundamental Test Process
ย 
2 anton muzhailo - formal test process improvement. how to invest to the te...
2   anton muzhailo - formal test process improvement. how to invest to the te...2   anton muzhailo - formal test process improvement. how to invest to the te...
2 anton muzhailo - formal test process improvement. how to invest to the te...
ย 
CRO and Vendor Oversight: Clinical
CRO and Vendor Oversight: ClinicalCRO and Vendor Oversight: Clinical
CRO and Vendor Oversight: Clinical
ย 
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...
Plug & Play: Benefits of Out-of-the-Box Clinical Development Analytics (CDA) ...
ย 
Fundamentals of software testing
Fundamentals of software testingFundamentals of software testing
Fundamentals of software testing
ย 
Types of Testing
Types of TestingTypes of Testing
Types of Testing
ย 
t map brief
t map brieft map brief
t map brief
ย 
TRI Webinar: RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
TRI Webinar:  RBM - Protocol Risk Assessment and Designing Site Quality Risk ...TRI Webinar:  RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
TRI Webinar: RBM - Protocol Risk Assessment and Designing Site Quality Risk ...
ย 
Using the test process improvement models. Case study based on TPI Next model...
Using the test process improvement models. Case study based on TPI Next model...Using the test process improvement models. Case study based on TPI Next model...
Using the test process improvement models. Case study based on TPI Next model...
ย 
Audits & Inspections_Katalyst HLS
Audits & Inspections_Katalyst HLSAudits & Inspections_Katalyst HLS
Audits & Inspections_Katalyst HLS
ย 
6_Kimberly Todd - QA and QC.pptx
6_Kimberly Todd - QA and QC.pptx6_Kimberly Todd - QA and QC.pptx
6_Kimberly Todd - QA and QC.pptx
ย 
Fundamentaltestprocess windirohmaheny11453205427 kelase
Fundamentaltestprocess windirohmaheny11453205427 kelaseFundamentaltestprocess windirohmaheny11453205427 kelase
Fundamentaltestprocess windirohmaheny11453205427 kelase
ย 

More from Perficient

Freedom and Flexibility with Siebel Clinical (CTMS) Open UI
Freedom and Flexibility with Siebel Clinical (CTMS) Open UIFreedom and Flexibility with Siebel Clinical (CTMS) Open UI
Freedom and Flexibility with Siebel Clinical (CTMS) Open UIPerficient
ย 
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...Managing Global Studies with Oracle's Siebel Clinical Trial Management System...
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...Perficient
ย 
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...Perficient
ย 
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?Cloud-based vs. On-site CTMS - Which is Right for Your Organization?
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?Perficient
ย 
Clinical Trial Supply Management with Siebel CTMS
Clinical Trial Supply Management with Siebel CTMSClinical Trial Supply Management with Siebel CTMS
Clinical Trial Supply Management with Siebel CTMSPerficient
ย 
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...Perficient
ย 
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...Perficient
ย 
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-Copy
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-CopyHow St. Jude Medical Manages Oracle Clinical Studies Using Accel-Copy
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-CopyPerficient
ย 
Evaluating and Investigating Drug Safety Signals with Public Databases
Evaluating and Investigating Drug Safety Signals with Public DatabasesEvaluating and Investigating Drug Safety Signals with Public Databases
Evaluating and Investigating Drug Safety Signals with Public DatabasesPerficient
ย 
The Perils of Clinical Trial Budgeting
The Perils of Clinical Trial BudgetingThe Perils of Clinical Trial Budgeting
The Perils of Clinical Trial Budgeting
Perficient
ย 
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
Perficient
ย 
2013 OHSUG - The Ins and Outs of CTMS Data Migration
2013 OHSUG - The Ins and Outs of CTMS Data Migration2013 OHSUG - The Ins and Outs of CTMS Data Migration
2013 OHSUG - The Ins and Outs of CTMS Data Migration
Perficient
ย 
2013 OHSUG - Siebel Clinical Integration with Other Systems
2013 OHSUG - Siebel Clinical Integration with Other Systems2013 OHSUG - Siebel Clinical Integration with Other Systems
2013 OHSUG - Siebel Clinical Integration with Other Systems
Perficient
ย 
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
Perficient
ย 
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
Perficient
ย 
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
Perficient
ย 
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
Perficient
ย 
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
Perficient
ย 
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
Perficient
ย 
2013 OHSUG - Clinical Data Warehouse Implementation
2013 OHSUG - Clinical Data Warehouse Implementation2013 OHSUG - Clinical Data Warehouse Implementation
2013 OHSUG - Clinical Data Warehouse Implementation
Perficient
ย 

More from Perficient (20)

Freedom and Flexibility with Siebel Clinical (CTMS) Open UI
Freedom and Flexibility with Siebel Clinical (CTMS) Open UIFreedom and Flexibility with Siebel Clinical (CTMS) Open UI
Freedom and Flexibility with Siebel Clinical (CTMS) Open UI
ย 
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...Managing Global Studies with Oracle's Siebel Clinical Trial Management System...
Managing Global Studies with Oracle's Siebel Clinical Trial Management System...
ย 
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...
How to Rapidly Configure Oracle Life Sciences Data Hub (LSH) to Support the M...
ย 
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?Cloud-based vs. On-site CTMS - Which is Right for Your Organization?
Cloud-based vs. On-site CTMS - Which is Right for Your Organization?
ย 
Clinical Trial Supply Management with Siebel CTMS
Clinical Trial Supply Management with Siebel CTMSClinical Trial Supply Management with Siebel CTMS
Clinical Trial Supply Management with Siebel CTMS
ย 
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...
Using Oracle Health Sciences Data Management Workbench to Optimize the Manage...
ย 
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...
Integrating Oracle Argus Safety with other Clinical Systems Using Argus Inter...
ย 
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-Copy
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-CopyHow St. Jude Medical Manages Oracle Clinical Studies Using Accel-Copy
How St. Jude Medical Manages Oracle Clinical Studies Using Accel-Copy
ย 
Evaluating and Investigating Drug Safety Signals with Public Databases
Evaluating and Investigating Drug Safety Signals with Public DatabasesEvaluating and Investigating Drug Safety Signals with Public Databases
Evaluating and Investigating Drug Safety Signals with Public Databases
ย 
The Perils of Clinical Trial Budgeting
The Perils of Clinical Trial BudgetingThe Perils of Clinical Trial Budgeting
The Perils of Clinical Trial Budgeting
ย 
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for using the Program Type View in Oracle Life Science...
ย 
2013 OHSUG - The Ins and Outs of CTMS Data Migration
2013 OHSUG - The Ins and Outs of CTMS Data Migration2013 OHSUG - The Ins and Outs of CTMS Data Migration
2013 OHSUG - The Ins and Outs of CTMS Data Migration
ย 
2013 OHSUG - Siebel Clinical Integration with Other Systems
2013 OHSUG - Siebel Clinical Integration with Other Systems2013 OHSUG - Siebel Clinical Integration with Other Systems
2013 OHSUG - Siebel Clinical Integration with Other Systems
ย 
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
2013 OHSUG - Sharing CTMS Data between Sponsors and Contract Research Organiz...
ย 
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
2013 OHSUG - Oracle Clinical and RDC Training for Data Management and Clinica...
ย 
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
2013 OHSUG - Merging Multiple Drug Safety and Pharmacovigilance Databases int...
ย 
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
2013 OHSUG - Integration of Argus and Other Products Using the E2B Interchange
ย 
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
2013 OHSUG - Use Cases for Using the Program Type View in Oracle Life Science...
ย 
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
2013 OHSUG - Facilitating Pharmacovigilance Globalization with Process Reengi...
ย 
2013 OHSUG - Clinical Data Warehouse Implementation
2013 OHSUG - Clinical Data Warehouse Implementation2013 OHSUG - Clinical Data Warehouse Implementation
2013 OHSUG - Clinical Data Warehouse Implementation
ย 

Recently uploaded

RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
BBPMedia1
ย 
Maksym Vyshnivetskyi: PMO Quality Management (UA)
Maksym Vyshnivetskyi: PMO Quality Management (UA)Maksym Vyshnivetskyi: PMO Quality Management (UA)
Maksym Vyshnivetskyi: PMO Quality Management (UA)
Lviv Startup Club
ย 
Enterprise Excellence is Inclusive Excellence.pdf
Enterprise Excellence is Inclusive Excellence.pdfEnterprise Excellence is Inclusive Excellence.pdf
Enterprise Excellence is Inclusive Excellence.pdf
KaiNexus
ย 
Premium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern BusinessesPremium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern Businesses
SynapseIndia
ย 
Affordable Stationery Printing Services in Jaipur | Navpack n Print
Affordable Stationery Printing Services in Jaipur | Navpack n PrintAffordable Stationery Printing Services in Jaipur | Navpack n Print
Affordable Stationery Printing Services in Jaipur | Navpack n Print
Navpack & Print
ย 
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdfSearch Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
Arihant Webtech Pvt. Ltd
ย 
Business Valuation Principles for Entrepreneurs
Business Valuation Principles for EntrepreneursBusiness Valuation Principles for Entrepreneurs
Business Valuation Principles for Entrepreneurs
Ben Wann
ย 
LA HUG - Video Testimonials with Chynna Morgan - June 2024
LA HUG - Video Testimonials with Chynna Morgan - June 2024LA HUG - Video Testimonials with Chynna Morgan - June 2024
LA HUG - Video Testimonials with Chynna Morgan - June 2024
Lital Barkan
ย 
Kseniya Leshchenko: Shared development support service model as the way to ma...
Kseniya Leshchenko: Shared development support service model as the way to ma...Kseniya Leshchenko: Shared development support service model as the way to ma...
Kseniya Leshchenko: Shared development support service model as the way to ma...
Lviv Startup Club
ย 
Improving profitability for small business
Improving profitability for small businessImproving profitability for small business
Improving profitability for small business
Ben Wann
ย 
The effects of customers service quality and online reviews on customer loyal...
The effects of customers service quality and online reviews on customer loyal...The effects of customers service quality and online reviews on customer loyal...
The effects of customers service quality and online reviews on customer loyal...
balatucanapplelovely
ย 
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdfModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
fisherameliaisabella
ย 
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
BBPMedia1
ย 
anas about venice for grade 6f about venice
anas about venice for grade 6f about veniceanas about venice for grade 6f about venice
anas about venice for grade 6f about venice
anasabutalha2013
ย 
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBdCree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
creerey
ย 
The Parable of the Pipeline a book every new businessman or business student ...
The Parable of the Pipeline a book every new businessman or business student ...The Parable of the Pipeline a book every new businessman or business student ...
The Parable of the Pipeline a book every new businessman or business student ...
awaisafdar
ย 
Brand Analysis for an artist named Struan
Brand Analysis for an artist named StruanBrand Analysis for an artist named Struan
Brand Analysis for an artist named Struan
sarahvanessa51503
ย 
What is the TDS Return Filing Due Date for FY 2024-25.pdf
What is the TDS Return Filing Due Date for FY 2024-25.pdfWhat is the TDS Return Filing Due Date for FY 2024-25.pdf
What is the TDS Return Filing Due Date for FY 2024-25.pdf
seoforlegalpillers
ย 
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s DholeraTata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
Avirahi City Dholera
ย 
20240425_ TJ Communications Credentials_compressed.pdf
20240425_ TJ Communications Credentials_compressed.pdf20240425_ TJ Communications Credentials_compressed.pdf
20240425_ TJ Communications Credentials_compressed.pdf
tjcomstrang
ย 

Recently uploaded (20)

RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...
ย 
Maksym Vyshnivetskyi: PMO Quality Management (UA)
Maksym Vyshnivetskyi: PMO Quality Management (UA)Maksym Vyshnivetskyi: PMO Quality Management (UA)
Maksym Vyshnivetskyi: PMO Quality Management (UA)
ย 
Enterprise Excellence is Inclusive Excellence.pdf
Enterprise Excellence is Inclusive Excellence.pdfEnterprise Excellence is Inclusive Excellence.pdf
Enterprise Excellence is Inclusive Excellence.pdf
ย 
Premium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern BusinessesPremium MEAN Stack Development Solutions for Modern Businesses
Premium MEAN Stack Development Solutions for Modern Businesses
ย 
Affordable Stationery Printing Services in Jaipur | Navpack n Print
Affordable Stationery Printing Services in Jaipur | Navpack n PrintAffordable Stationery Printing Services in Jaipur | Navpack n Print
Affordable Stationery Printing Services in Jaipur | Navpack n Print
ย 
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdfSearch Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
Search Disrupted Googleโ€™s Leaked Documents Rock the SEO World.pdf
ย 
Business Valuation Principles for Entrepreneurs
Business Valuation Principles for EntrepreneursBusiness Valuation Principles for Entrepreneurs
Business Valuation Principles for Entrepreneurs
ย 
LA HUG - Video Testimonials with Chynna Morgan - June 2024
LA HUG - Video Testimonials with Chynna Morgan - June 2024LA HUG - Video Testimonials with Chynna Morgan - June 2024
LA HUG - Video Testimonials with Chynna Morgan - June 2024
ย 
Kseniya Leshchenko: Shared development support service model as the way to ma...
Kseniya Leshchenko: Shared development support service model as the way to ma...Kseniya Leshchenko: Shared development support service model as the way to ma...
Kseniya Leshchenko: Shared development support service model as the way to ma...
ย 
Improving profitability for small business
Improving profitability for small businessImproving profitability for small business
Improving profitability for small business
ย 
The effects of customers service quality and online reviews on customer loyal...
The effects of customers service quality and online reviews on customer loyal...The effects of customers service quality and online reviews on customer loyal...
The effects of customers service quality and online reviews on customer loyal...
ย 
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdfModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
ModelingMarketingStrategiesMKS.CollumbiaUniversitypdf
ย 
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...
ย 
anas about venice for grade 6f about venice
anas about venice for grade 6f about veniceanas about venice for grade 6f about venice
anas about venice for grade 6f about venice
ย 
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBdCree_Rey_BrandIdentityKit.PDF_PersonalBd
Cree_Rey_BrandIdentityKit.PDF_PersonalBd
ย 
The Parable of the Pipeline a book every new businessman or business student ...
The Parable of the Pipeline a book every new businessman or business student ...The Parable of the Pipeline a book every new businessman or business student ...
The Parable of the Pipeline a book every new businessman or business student ...
ย 
Brand Analysis for an artist named Struan
Brand Analysis for an artist named StruanBrand Analysis for an artist named Struan
Brand Analysis for an artist named Struan
ย 
What is the TDS Return Filing Due Date for FY 2024-25.pdf
What is the TDS Return Filing Due Date for FY 2024-25.pdfWhat is the TDS Return Filing Due Date for FY 2024-25.pdf
What is the TDS Return Filing Due Date for FY 2024-25.pdf
ย 
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s DholeraTata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
Tata Group Dials Taiwan for Its Chipmaking Ambition in Gujaratโ€™s Dholera
ย 
20240425_ TJ Communications Credentials_compressed.pdf
20240425_ TJ Communications Credentials_compressed.pdf20240425_ TJ Communications Credentials_compressed.pdf
20240425_ TJ Communications Credentials_compressed.pdf
ย 

Business and Operational Risks in Pharmaceutical Information

  • 1. PREVIOUS NEXTPREVIOUS NEXT Business and Operational risks in handling pharmaceutical information 17TH November 2011 Adrian Hampshire, BioPharm Parambir Singh, BioPharm Rob van Manen, Oracle
  • 2. PREVIOUS NEXT Risk โ€“ a definition โ— a situation involving exposure to danger โ— the possibility that something unpleasant or unwelcome will happen (Oxford English Dictionary)
  • 3. PREVIOUS NEXT Outline โ— What are business and operational risks? o Broad scope โ€ข e.g. What risks do you run if you donโ€™t have a particular system or process in place? o Narrow scope โ€ข e.g. What risks do you run when implementing a complex system or process? โ— What are some of the impacts if a risk occurs? โ— How can we reduce the risks? โ— What do we do about residual risks?
  • 4. PREVIOUS NEXT Key steps and processes involved in a clinical trial โ€ข Trial design and planning โ€ข Obtaining regulatory approval โ€ข Planning and manufacturing/acquiring study drug โ€ข Recruiting investigators (enrolment, screening, inclusion) โ€ข Site start-up โ€ข Recruiting patients โ€ข Administering drug โ€ข Registering results โ€ข Raising and responding to data queries โ€ข Monitoring safety โ€ข Monitoring site execution โ€ข Verifying source document โ€ข Assembling results โ€ข Reconciliation โ€ข Analysing results โ€ข Reporting the trial โ€ข Closing the study Each of these steps involves an individual process that is more or less complex. Each process is supported/enabled by one or more IT or manual systems. Each step therefore carries a number of key risks.
  • 5. PREVIOUS NEXT Key risks 1. The step is not executed at all Simple example: If there is no process and system for monitoring safety, patients are put at risk. 2. The step is executed incorrectly or incompletely Simple example: If the design of the trial is inadequate or inappropriate, the results of the study may not answer the question that the study was designed to answer. Conclusion: We need a robust and complete set of process and systems to support those processes throughout the lifecycle of the study.
  • 6. PREVIOUS NEXT Change = Risk Implementing a new process and system(s) = change Change = Risk Risks are: โ— Strategic risks โ— Programme risks โ— Operational risks โ— Project risks
  • 7. PREVIOUS NEXT Management of risk Four key actions: โ— Identify the risk โ— Assess the impact โ— Reduce the impact โ— Plan to handle the risks that canโ€™t be eliminated Optional fifth key action: โ— Outsource the risk
  • 8. PREVIOUS NEXT Outsourcing risk Sponsor outsources the trial to a CRO โ— The sponsor is paying the CRO to take on the risk, for a price. Sponsor or CRO deploys a system to help manage any of the clinical trial processes โ— They โ€œoutsourceโ€ a proportion of the risk to the developer/ vendor of the system, again, for a price. In both cases, the organisation shares the risk with a supplier who, because they have executed the process many times or have built the software through many iterations over many years, consequently run a much reduced level of risk. CAVEAT: If key processes of the trial are outsourced, we need to be clear who โ€œownsโ€ the risk and takes responsibility for addressing it.
  • 9. PREVIOUS NEXT Commercial packages reduce risk A pre-packaged solution: โ— Built on best practices โ— Delivers probably 80% of what the customer needs โ— Gives the organisation the choice to o configure the system to meet the missing 20% o change their process such that the 80% provided by the pre- packaged solution meets 100% of requirements โ— Greatly reduces the risk because all prior implementations and the design choices and changes made as a result of these projects have already incurred those risks โ— Reduces validation and testing requirements because much of this is address when the pre-packaged solution is constructed โ— Has the potential to speed up the implementation by an order of magnitude. o Example: ASCEND reduces implementation time from 8-10 months to 8-10 weeks
  • 10. PREVIOUS NEXT Two examples in detail ASCEND โ— Reducing risk by implementing a pre-configured version of a complex CTMS solution (Siebel Clinical) Parambir Singh, Vice President, Clinical Trial Management Solutions at BioPharm Systems Argus Safety and Empirica Signal โ— Reducing risk by implementing a commercially available, proven and market-leading safety and risk management solution suite โ— Rob van Manen, Master Principal Sales Consultant at Oracle HSGBU
  • 11. PREVIOUS NEXT Introduction A CTMS helps mitigate the risks of: โ— Skipping a step โ— Executing a step incorrectly Siebel Clinicalโ€™s design is particularly helpful at mitigating risk โ— Template-driven A pre-packaged version of Siebel Clinical, such as ASCEND, further mitigates risk โ— Industry standards and best practices
  • 12. PREVIOUS NEXT Agenda Topic Introduction & Agenda Recruiting Investigators Site Start-Up Recruiting Patients Monitoring Site Execution Closing the Study & Conclusion
  • 13. PREVIOUS NEXT Recruiting Investigators Assessment Templates: Standardized evaluation criteria and answer choices โ— Ensure investigators are evaluated consistently and objectively โ— Complete one assessment multiple times or several different assessments for each investigator โ— Associate a percentage score with each investigator Siebel Clinical
  • 14. PREVIOUS NEXT Recruiting Investigators Target Lists: Complex investigator searches โ— Allow users to search for investigators: o in the right location o with the right patient population o with the right experience o with the right assessment scores ASCEND
  • 15. PREVIOUS NEXT Site Start-Up Activity Templates: Standardized sets of tasks and documents โ— Reflect content of SOPs โ— Ensure same tasks are completed and same documents are collected across all sites โ— Can have separate templates for each country to reflect different requirements Siebel Clinical
  • 16. PREVIOUS NEXT Site Start-Up Activities & Document Tracking: Focused tracking areas โ— Utilizing the SC separate views due to different tracking needs for activities vs. documents โ— Tailored fields and field dropdown choices in each view โ— Document Tracking Screen which includes all documents also includes indication of what level the document is related to ASCEND
  • 17. PREVIOUS NEXT Recruiting Patients Subject Visit Templates: Standardized subject visit schedules and payment amounts โ— Created per protocol and applied to each site and patient o Can be versioned to reflect protocol amendments โ— Payment amounts can be modified at the site level (modifications are documented) โ— Payment process ensures no visits are paid for more than once Siebel Clinical
  • 18. PREVIOUS NEXT Recruiting Patients Subject Information: Improved tracking โ— Able to record IRB Approval dates for protocol amendments that do not affect the visit schedule and therefore do not require new Informed Consent โ— Able to track individual subject treatment arms and change treatment arms mid-study โ— Able to track details about subject-specific protocol deviations and adverse events ASCEND
  • 19. PREVIOUS NEXT Monitoring Site Execution Trip Report Templates: Standardized tasks and questions โ— Reflect content of SOPs โ— One template for each type of visit โ— Created centrally and then applied to each site visit record โ— Ensure same information is recorded, tasks are completed, and questions are answered for each visit type across all sites Siebel Clinical
  • 20. PREVIOUS NEXT Monitoring Site Execution Trip Report Completion: Expanded to include more information โ— Separated yes/no questions from narrative response questions โ— Allow relevant PD, SAE, Follow-Up Item, and CRF Tracking records to be imported as a snapshot in time โ— Records complete approval history audit trail to comply with 21 CFR Part 11 ASCEND
  • 21. PREVIOUS NEXT Closing the Study Activity Templates: Standardized sets of tasks and documents โ— Reflect content of SOPs โ— Ensure same tasks are completed and same documents are collected across all sites โ— Can have separate templates for each country to reflect different requirements โ— Rollup views allow quick access to subject, site, and country/region statuses to confirm all child records are in a terminal status Siebel Clinical
  • 22. PREVIOUS NEXT Closing the Study Activities & Document Tracking: Focused tracking areas โ— Utilizing the SC separate views due to different tracking needs for activities vs. documents โ— Tailored fields and field dropdown choices in each view โ— Document Tracking Screen which includes all documents also includes indication of what level the document is related to ASCEND
  • 23. PREVIOUS NEXT Conclusion โ€ข Implementing a CTMS helps to mitigate risk by providing a central location for clinical trial management information โ€ข Siebel Clinical is particularly helpful at mitigating risk due to its template-driven design โ€ข A pre-packaged version of Siebel Clinical, such as ASCEND, further mitigates risk by adhering to industry best practices and including commonly-requested enhancements right out of the box
  • 24. PREVIOUS NEXT Introduction A case processing system can help mitigate process-related compliance risks, such as: โ— Failing to comply with adverse reaction regulations - Failing to report certain cases - Failing to comply with regulatory reporting deadlines A signal detection environment can contribute in mitigating product-related risks, such as: โ— Failing to timely detect product-related adverse reactions - Failing to perform correct clinical assessment of potential signals - Failing to take appropriate action and document this
  • 25. PREVIOUS NEXT Case Processing Activities: โ— Data collection and entry โ— Coding โ— Medical review โ— Reporting
  • 26. PREVIOUS NEXT Case Processing: Data Entry Risks and safeguards: โ— Incomplete data: Data completeness checking - Avoid missing key information such as patient, product, event or reporter โ— Incorrect data: Data correctness checking - Dates and numbers - Upper and lower boundaries โ— Inconsistent data: Data consistency checking - Starting and ending dates; continuing exposure/event - Seriousness criteria
  • 27. PREVIOUS NEXT Case Processing: Coding Risks and safeguards: โ— Incorrect coding - Use of auto-encoders, supporting powerful multi-step coding algorithms - Use of coding review procedures โ— Inconsistent coding - Use of standard synonym lists - Code propagation capabilities
  • 28. PREVIOUS NEXT Case Processing: Medical review Risks and safeguards: โ— Incorrect assessment of reportability - Providing all relevant information in an easily accessible way โ— Undocumented assessments - Importance of easy to use functionality to capture medical assessment results (including audit trail)
  • 29. PREVIOUS NEXT Case Processing: Regulatory reporting Risks and safeguards: โ— Reports not submitted - Automatic report requests based on regulatory requirements โ— Reports submitted too late - Report tracking with reminder capabilities โ— Incorrect report type, e.g. periodic versus expedited reporting - Reportability assessment combined with automatic report requests โ— Reports not adequately documented for auditing purposes - Built-in report tracking and auditing
  • 30. PREVIOUS NEXT Signal Detection Background: โ— Regulators have published signal detection guidance documents and are in the process of implementing signal detection requirements โ— Regulators are performing quantitative signal detection themselves and have been confronting companies with potential signals
  • 31. PREVIOUS NEXT Regulatory Guidance on Signal Detection
  • 32. PREVIOUS NEXT Examples of Regulatory and Public-Private Initiatives Europe: โ— ENCePP (European Network of Centres for Pharmacoepidemiology and Pharmacovigilance) โ— IMI-PROTECT (Innovative Medicines Initiative - Pharmacoepidemiological Research on Outcomes of Therapeutics by a European Consortium) โ— EU-ADR US: โ— Sentinel and Mini-Sentinel โ— Observational Medical Outcomes Partnership (OMOP) Japan: โ— Mihari
  • 33. PREVIOUS NEXT Signal Detection Activities by Regulators
  • 34. PREVIOUS NEXT Signal Detection Activities by Regulators
  • 35. PREVIOUS NEXT Signal Detection Activities by Regulators โ— FDA o Empirica Signal in production at CDER, CBER, CDRH and CFSAN - quarterly overview of potential signals currently under evaluation o Empirica Study and WebSDM in production at CDER and CBER โ— EMA โ€“ EudraVigilance o In-house developed quantitative signal detection tools (PRR) โ— MHRA o Empirica Signal โ€“ Signal Management in production โ€“ Drug Analysis Prints โ— MHLW โ€“ PMDA o Developing quantitative signal detection tools as part of the Mihari initiative โ— Other countries: o Netherlands (Lareb): In-house quantitative signal detection tools (ROR)
  • 36. PREVIOUS NEXT Signal Detection: Risks and Safeguards Risks: โ— Non-compliance with current regulatory guidelines and upcoming regulations with respect to quantitative safety signal detection โ— Previously unknown signals identified by regulators through quantitative safety signal detection Safeguards: โ— Implementation of processes and systems for standardized, systematic, documented quantitative signal detection and signal management โ— Application of methods and systems for data cleaning and signal detection as similar as possible to those used by the authorities