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Table 1 List of automatic and manual triggers with categories and abridged narratives

From: Implementing monitoring triggers and matching of triggered and control sites in the TEMPER study: a description and evaluation of a triggered monitoring management system

Trigger ID

Typea

Category

Abridged narrative

Firing rateb

Trial 1

1

Au

Protocol deviation (treatment)

Drug dose greater than expected dose

77%

2

Au

Data query rate (specific question)

Number of missing values of a specific field greater than a given percentage of the total of corresponding forms

2%

3

Au

SAE rate (high)

Number of patients with SAEs is greater than expected

0%

4

Au

High recruitment

Site has recruited more patients than a set target

11%

5

Au

Data query rate (overall)

Number of queried fields greater than a given percentage of the total number of available fields

4%

6

Au

Data query resolution time

Queried fields outstanding for more than a specified time greater than a given percentage of the total of queried fields

26%

7

Au

Overall CRF return rate

CRF return rate less than a given value

16%

8

Au

Protocol deviation (eligibility)

Enrolment of ineligible patient (date of surgery)

8%

9

Au

Protocol deviation (eligibility)

Enrolment of ineligible patient (date of bloods)

22%

10

Au

Protocol deviation (eligibility)

Enrolment of ineligible patient (date of scan)

24%

M1

Mn

General concern

General concern from protocol deviation log

2%

Trial 2

1

Au

SAE rate (low)

Number of patients with SAEs is less than expected

4%

2

Au

High recruitment

Site has recruited more patients than a set target

0%

3

Au

Data query rate (overall)

Number of queried fields greater than a given percentage of the total number of available fields

7%

4

Au

Data query resolution time

Queried fields outstanding for more than a specified time greater than a given percentage of the total of queried fields

31%

5

Au

Overall CRF return rate

CRF return rate less than a given value

4%

6

Au

Protocol deviation (treatment)

Drug (1) dose greater than expected dose

0%

7

Au

Protocol deviation (treatment)

Drug (2) dose greater than expected dose

1%

8

Au

Protocol deviation (treatment)

Drug (3) dose greater than expected dose

0%

9

Au

Protocol deviation (treatment)

Drug (4) dose greater than expected dose

0%

10

Au

Protocol deviation (treatment)

Drug (4) given when data indicate it should have been withheld

43%

11

Au

Protocol deviation (treatment)

Drug (5) dose greater than expected dose

0%

12

Au

Protocol deviation (withdrawal rate)

Number of withdrawn patients more than a given percentage of the total number of patients

3%

13

Au

Protocol deviation (treatment)

Drug not given at correct dose

0%

M1

Mn

General concern

General concern following Trial Management Group meetings

2%

M2

Mn

Protocol deviation (procedure)

Important safety test missed

0%

M3

Mn

Protocol deviation (treatment)

Medication is not administered when a particular test result is below a specified value

0%

M4

Mn

Protocol deviation (treatment)

Drug (3) not given at correct dose in feasibility study centres

0%

Trial 3

1

Au

Return rate, specific CRF

If death reported, has the relevant form been sent?

2%

2

Au

Return rate, specific CRF

If progression reported, has the relevant progression CRF been sent?

43%

3

Au

Overall CRF return rate

CRF return rate less than a given value

55%

4

Au

Return rate, specific CRF

More than a specified number of patients with last form received more than a given time

5%

5

Au

Data query rate (overall)

Number of queried fields greater than a given percentage of the total of available fields

2%

6

Au

Data query resolution time

Queried fields outstanding for more than a specified time greater than a given percentage of the total of queried fields

47%

7

Au

SAE rate (low)

Number of patients with SAEs is less than expected

18%

8

Au

SAE rate (high)

Number of patients with SAEs is greater than expected

3%

M1

Mn

Return rate, patient consent form

Consent forms return rate less than a given value

23%

M2

Mn

General concern

General concern following Trial Management Team review

1%

  1. CRF: case report form, SAE: serious adverse event
  2. aType of trigger: Au: automatic; Mn: manual
  3. bFiring rate: proportion of assessments in which the trigger was fired