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CRC Basic 2.0 Study Documentation

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This document outlines the essential phases of study documentation, emphasizing the concepts of "Good," "Better," and "Best." It delineates what quality documentation entails, including the importance of accuracy, completeness, and reliability in records. The ALCOA principles—Attributable, Legible, Contemporaneous, Original, Accurate—are highlighted as standards for effective documentation. This resource also provides links to useful checklists and materials for improving documentation practices across study execution, informed consent processes, and source documentation.

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CRC Basic 2.0 Study Documentation

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  1. CRC Basic 2.0 Study Documentation Good, Better, Best and How to Reach the Top

  2. When to start? 4 3 2 1

  3. Phases of Documentation

  4. What does “best” look like? • “Adequate and accurate” • “Ensure accuracy and completeness” http://www.fda.gov/downloads/ICECI/EnforcementActions/BioresearchMonitoring/UCM133749.pdf

  5. Definitions • A-Who created record • L-Readable • C-Timely • O-First time written • A-Correct, “whole truth”

  6. Study Execution and ALCOA • Informed Consent Recognizing -Good -Better -Best Study Documentation • Source Docs • Notes to file and other documen-tation

  7. Informed Consent ⃝ Attributable ⃝ Legible ⃝ Contemporaneous ⃝ Original ⃝ Accurate

  8. Informed Consent ⃝ Attributable ⃝ Legible ⃝ Contemporaneous ⃝ Original ⃝ Accurate

  9. Informed Consent ⃝ A ⃝ L ⃝ C ⃝ O ⃝ A

  10. Source Documenation ⃝ A ⃝ L ⃝ C ⃝ O ⃝ A

  11. Source Documentation ⃝ A ⃝ L ⃝ C ⃝ O ⃝ A

  12. Other Documentation ⃝ A ⃝ L ⃝ C ⃝ O ⃝ A

  13. Other Documentation ⃝ A ⃝ L ⃝ C ⃝ O ⃝ A

  14. Corrections

  15. Corrections • 

  16. Corrections

  17. Corrections

  18. Study Documentation • Resources for checklists • http://www.partners.org/phsqi/ToolsPage.htm • http://www.partners.org/phsqi/vrb/files/index.htm

  19. References • http://www.fda.gov/downloads/ICECI/EnforcementActions/BioresearchMonitoring/UCM133749.pdf • http://tjkuhn.wordpress.com/2008/07/23/alcoa/ • http://www.partners.org/phsqi/ToolsPage.htm • http://www.partners.org/phsqi/vrb/files/index.htm

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