Miscellaneous
Protocol Assessments
Serious Adverse Events
Toxicity Assessment
Protocol Amendments
100

A system that allows staff to report actual events and near misses that have the potential to cause harm but are caught and corrected before they reach the patient.

What is a RISQ (Reporting to Improve Safety and Quality)?

100

Grid located in most protocols detailing time points and corresponding assessments.

What is a Schedule of Events?

100

Unrelated, unlikely, possible, probable, and definite are the choices for the relatedness of an AE or SAE.

What is an Attribution?

100

A tool or form where data is collected for a research protocol.

What is the Case Report Form (CRF)?

100

A revision to an existing IRB approved protocol, i.e., change in Inclusion/Exclusion Criteria, change in dosage, change in PI/Investigators, change in design, etc.

What is a Protocol Amendment?

200

Location of educational materials that can be provided to a study participant.


What is Patient and Caregiver Education Page?

200

A collection from a study participant used for protocol analysis.

What is a research sample?

200

An adverse event that meets the seriousness criteria as defined by the protocol; for example, hospitalization or prolongation of existing hospitalization.

What is a Serious Adverse Event (SAE)?

200

Information that are missing details or have discrepancies with other data may trigger one of these from the sponsor.

What is a Query?

200

A patient needs to be informed of changes made to the protocol, not encompassing risk changes.

What is a verbal notification?

300

Documentation authored by CTN during patient clinic visit.


What is a Nursing Encounter Note/ ONE Note?

300

A paper source documentation of oral study drug administration.

What is a Pill Diary/Investigational Medical Diary?

 

300

The position that completes the SAE narrative.

What is a CTN (Clinical Trials Nurse)?

300

True or False: Toxicity attribution may change during a treatment intervention.

What is True?

300

This document contains the names of the Consenting Professionals and Sub-Investigators that have delegated authority for a clinical study.

What is the Face Sheet?

400

Role responsible for bed confirmation and protocol supply availability

What is a primary CTN?

400

Form needed to reconcile supply of oral investigational drugs accompanied by a pill diary.  

What is a Drug Accountability Reconciliation Form/DARF?

400

An AE that the protocol requires additional reporting, but does not necessarily meet seriousness criteria.

What is an Adverse Event of Special Interest (AESI)?

400

This is the system developed by the NCI for grading the severity of adverse events in cancer patients.

What is CTCAE?

400

Study tools that may need to be updated due to an amendment.

What are Lab Reqs/PK Sheets, Checkouts, CTMS Calendar, Protocol Order Set, Eligibility Checklist, Pharmacy Order Set (eATO) or CARS Order Set?

500

An admission to the hospital ahead of a treatment as required per protocol.

What is a planned admission?

500

True/False: Study Drugs can be stored/saved in cabinets or locked desks when awaiting reconciliation.

 

FALSE

500

Within 24-hours of knowledge of the event.

What is the most common sponsor SAE reporting time frame?

500

True or False: All SAEs should be reported as an Unanticipated Problem.

What is False?

500

Before any new research interventions/interactions/next protocol visit. Unless IRB approves a different reconsent timeline.

What is the Re-Consent Timeframe?