Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108, USA.
Contemp Clin Trials. 2022 Aug;119:106812. doi: 10.1016/j.cct.2022.106812. Epub 2022 May 31.
In the past decade, regulatory agencies have released guidance around risk-based management with the goal of focusing on risks to critical aspects of a research study. Several tools have been developed aimed at implementing these guidelines. We designed a risk management tool to meet the demands of our academic data coordinating center.
We developed the Risk Assessment and Risk Management (RARM) tool on three fundamental criteria of our risk/quality program: (1) Quality by Design concepts applies to all employees, regardless of the employee's role; (2) the RARM process must be economically feasible and dynamically flexible during the study startup and implementation process; and (3) responsibility of the RARM lay with the entire study team as opposed to a single quality expert.
The RARM tool has 20 elements for both risk assessment and risk management. The incorporation of both aspects of risk management allow for a seamless transition from identifying risks to actively monitoring risks throughout enrollment.
The RARM tool achieves a simplified, seamless approach to risk assessment and risk management. The tool incorporates the concept of Quality by Design into daily work by having every team member contribute to the RARM tool. It also combines the risk assessment and risk management processes into a single tool which allows for a seamless transition from identifying risks to managing the risks throughout the life of the study. The instructions facilitate documentation of de-risking protocols early in development and the tool can be implemented in any platform and organization.
在过去的十年中,监管机构发布了基于风险的管理指南,旨在关注研究的关键方面的风险。已经开发了几种工具来实施这些准则。我们设计了一种风险管理工具,以满足我们学术数据协调中心的需求。
我们根据风险/质量计划的三个基本标准开发了风险评估和风险管理 (RARM) 工具:(1)质量源于设计的理念适用于所有员工,无论其职位如何;(2)RARM 流程在研究启动和实施过程中必须具有经济可行性和动态灵活性;(3)RARM 的责任由整个研究团队承担,而不是由单一的质量专家承担。
RARM 工具包含 20 个风险评估和风险管理要素。风险管理的这两个方面的结合允许从识别风险无缝过渡到在整个入组过程中积极监测风险。
RARM 工具实现了简化、无缝的风险评估和风险管理方法。该工具通过让每个团队成员都为 RARM 工具做出贡献,将质量源于设计的理念融入日常工作中。它还将风险评估和风险管理流程合并到一个工具中,从而可以从识别风险无缝过渡到在研究的整个生命周期中管理风险。这些说明方便了在开发早期记录降低风险的协议,并且该工具可以在任何平台和组织中实施。