CRA Workload Behind the Last Unresolved Query
Quality by Design (QbD) and Risk-Based Monitoring (RBM) are frequently discussed in modern clinical research. Rather than attempting to eliminate every minor error, the emphasis has shifted toward protecting participant safety and ensuring the reliability of critical data through a risk-based approach. A recent discussion published by RAPS following the DIA Global Annual Meeting explored these principles in the context of FDA inspections and Form 483 observations. One example used during the discussion was particularly memorable. A clinical trial was compared to a field of corn. Each patient represented a stalk, each data point a kernel, and the CRA was expected to inspect every kernel on every cob in every row of the field. The message was that expecting a CRA to examine everything is unrealistic, and criticizing them for missing only a few "kernels" among billions is equally unreasonable. ( https://www.raps.org/resource/fda-investigator-experts-seek-to-dispel-misperceptio...