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.