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Audit Readiness: Rehearse Evidence Retrieval During the Study

Audit readiness improves when teams can reconstruct ordinary decisions while a study is running. Last-minute file collection often conceals missing context,.

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Audit readiness improves when teams can reconstruct ordinary decisions while a study is running. Last-minute file collection often conceals missing context, unclear ownership and inaccessible vendor records.

Select an activity trail

Select a narrow activity trail such as a protocol amendment, data transfer failure or monitoring finding. Ask an independent reviewer to follow the trigger, decision, implementation and verification. Record retrieval obstacles without altering original records to make the trail appear complete.

Reconstruct an EDC change

For an EDC change, assemble the approved requirement, impact assessment, test evidence, release approval and user communication. Explain any missing link using a transparent issue record. Retrospective explanation should be identified as retrospective, with its author and date.

Evidence retrieval checks

  • Assign a request owner and controlled evidence-sharing location.
  • Preserve original versions and relevant contextual metadata.
  • Record open gaps, their impact and the responsible decision maker.

Improve routine readiness

Accept the rehearsal when the evidence answers the review question without relying on personal memory. Use findings to improve normal filing and access practices. A successful rehearsal does not guarantee an inspection outcome, but it makes operational weaknesses visible while they can still be addressed. Distinguish finding a file from explaining a decision; record response time and missing context to separate access problems from process knowledge gaps.

Frequently asked questions

Should teams create missing records before an audit?
Document the gap honestly; never backdate or represent a reconstruction as a contemporaneous original.
Is an audit rehearsal a formal inspection?
No. It is an internal exercise with a defined scope and documented follow-up.

Sources

  1. EMA — Trial master file management and archiving
  2. EMA — ICH E6 good clinical practice