What's included

How an issue moves from identified to closed

  • Every issue logged in a central tracker at the point it's identified, whether raised during a visit, a remote review, or by the site itself
  • Severity and escalation path assigned based on impact to patient safety, data integrity, or protocol compliance
  • Owner and target resolution date set at the time of escalation, with the sponsor looped in on anything material
  • Follow-up confirmed and documented before an issue is marked closed, not assumed resolved because it wasn't mentioned again
  • Open items carried forward into every subsequent monitoring visit report until resolution is confirmed

Closed, not just logged

An issue log is only useful if items actually get resolved, every entry runs to a documented close, tracked against the same site's payment milestones where the two are linked.

Surfaced early, not at close-out

Issues affecting essential documents or site compliance are flagged well before the study ends, so document reconciliation at close-out isn't a scramble.