Six Sigma: Refusing to Measure - Refusing to Improve
The Hidden Cost of “Fixing It Later” in Clinical Research Clinical research quality is usually discussed in the language of compliance: GCP, inspection readiness, audit findings, protocol deviations, CAPA, TMF completeness, and data integrity. This language is necessary. Clinical trials must protect participants, produce reliable results, and withstand regulatory and scientific scrutiny. A clinical trial may appear compliant at the end, but only after thousands of queries, repeated document corrections, email clarifications, monitoring follow-ups, vendor reconciliations, TMF quality-control rejections, and late-stage remediation activities. The final clinical study report may be based on acceptable data, but the operational question remains: how much rework was required to make the data, documents, and reports correct? This is where Six Sigma thinking becomes useful. Six Sigma does not need to be copied mechanically from manufacturing into clinical trials. Clinical research is more var...