Creating an Efficient Clinical Trial Build System Via the Clinical Trials Rapid Activation Consortium (CTRAC)

项目总结/摘要 标准医疗电子健康记录（EHR）治疗计划在实施前构建一次 通过标准化支持质量。相比之下，临床试验的治疗计划可能支持 少至零试验参与者，必须为每个新试验和每个增加的地点从头开始建立， 并且有治疗计划，通常需要配置新的药物，许多辅助 程序和研究资金要求。目前的模式是昂贵的，复杂的，效率低下的。 五个癌症中心的代表同意参与该项目的临床试验快速激活 Consortium（CTRAC）.该项目的目标是开发跨多种NCI支持的癌症的过程 这些中心将促进EHR临床试验治疗计划的单一构建的发展， 部署在多个机构，以支持国家癌症研究所赞助的网络研究。成员将调查 问：一个小型的临床试验机构联盟能否开发出标准化工作流程、药物 处方集、药物管理程序和实验室要求，导致创建 标准化的电子临床试验构建系统的组件？具体目标如下：（1） 确定EHR研究性治疗计划（SOP、政策和工作流程）当前执行的任务 并确定这些标准操作规程在联合体各成员地点之间的差异; 2） 在可能的情况下，标准化每个任务中的流程，并记录需要 3）制定EHR治疗计划模块的主评估， 重复使用，以在多个研究中心执行相同研究方案任务的组成部分，同时保持 符合联合体成员单位的要求; 4）组织领导班子 该联盟将与NCI和EHR提供商合作，监督这一举措，以确保 朝着创建全自动电子临床试验的最终目标取得了足够的进展 建立一个系统，促进在所有NCI支持的网络中启动临床试验; 5）建立 标准化的电子临床试验构建模块，可以在每个机构进行未来的试点测试， 指定的一组由国家癌症研究所赞助的临床试验;以及6）促进新EHR指标的制定 可以证明更一致的患者护理，减少用药错误， 不良事件是由临床试验构建模块的标准化方法引起的。

PROJECT SUMMARY/ABSTRACT Standard-of-care electronic health records (EHR) treatment plans are constructed once prior to implementation and support quality through standardization. By comparison, treatment-plan builds for clinical trials may support as few as zero trial participants, must be built from the ground up for each new trial and at each added site, and have treatment plans that often require configurations for novel medications, numerous ancillary procedures, and research finance requirements. The current paradigm is costly, complex, and inefficient. Representatives of five cancer centers agreed to be part of the project’s Clinical Trials Rapid Activation Consortium (CTRAC). The project’s goal is to develop processes across multiple NCI-supported cancer centers that will facilitate the development of single builds of EHR clinical-trial treatment plans that can be deployed at multiple institutions in support of NCI-sponsored network studies. Members will investigate the question: can a small consortium of clinical trials sites develop methods to standardize workflows, drug formularies, drug administration procedures, and laboratory requirements leading to the creation of the components for a standardized, electronic, clinical-trials build system? The specific aims are as follows: 1) To identify the tasks currently performed by EHR investigational treatment plans (SOPs, policies, and workflows) and to define differences among these SOPs at the individual member sites of the consortium; 2) To standardize the processes within each task where possible and document differences that would require modifications across sites; 3) To develop a master assessment of EHR treatment-plan modules that could be reused to perform components of the same research protocol tasks at multiple sites while maintaining compliance with the requirements of member organizations of the consortium; 4) To organize a leadership structure for the consortium that will work with the NCI and an EHR provider to oversee this initiative to assure that adequate progress is made toward the ultimate goal of creating a fully automated electronic clinical-trial build system that will facilitate the activation of clinical trials across all NCI-supported networks; 5) To build standardized electronic clinical-trial build modules that could undergo future pilot testing at each institution for a specified group of NCI-sponsored clinical trials; and 6) To facilitate development of metrics for the new EHR processes that can demonstrate whether more consistent patient care, reduced medication errors, and fewer adverse events result from a standardized approach to clinical-trial build modules.