resolutions for unexpected site challenges

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2009 Web Seminar Series Resolutions for Unexpected Site Challenges Instructors: Charlotte Royer-Malvestuto, M.Ed., MBE Jack Chally, M.B.A. An Introduction to Risk Management "This training has been funded in whole or in part with Federal funds from the National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services, Under Contract No.HHSN271200522081C."

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Resolutions for Unexpected Site Challenges. An Introduction to Risk Management. Instructors:Charlotte Royer-Malvestuto, M.Ed., MBE Jack Chally, M.B.A. - PowerPoint PPT Presentation

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Page 1: Resolutions for Unexpected  Site Challenges

2009 Web Seminar Series2009 Web Seminar Series

Resolutions for Unexpected

Site Challenges

Resolutions for Unexpected

Site Challenges

Instructors: Charlotte Royer-Malvestuto, M.Ed., MBEJack Chally, M.B.A.

An Introduction to Risk Management

"This training has been funded in whole or in part with Federal funds from the National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services, Under Contract No.HHSN271200522081C."

Page 2: Resolutions for Unexpected  Site Challenges

2

Training Outline

Introduce Risk Management Risk management recognizes and addresses

unexpected site challenges in a proactive manner Potential threats are embraced and addressed

instead of ignored or hidden Case Study and Group Discussion

Process helps identify critical components for continual, successful operations and the likelihood of disruption and appropriate plan to mitigate undesirable events

Page 3: Resolutions for Unexpected  Site Challenges

http://www.darwinawards.com/ 3

Page 4: Resolutions for Unexpected  Site Challenges

4

Risk Management

Risk A probability that some adverse circumstance

will occur Risk Management

Process for risk identification and contingency plan development to address risks

Done with each study section or overall Assess probability of occurrence (80%) Strategy or contingency plan for each risk

Page 5: Resolutions for Unexpected  Site Challenges

5

Risk Management

Process Risk Management

Process Risk identification

Identify project, product and risks level

Risk Assessment/Analysis Assess likelihood and

consequences Risk Planning

Develop plans to avoid or minimise risk impact

Risk Monitoring/Controlling Monitor and adjust plans

Risk Identification• Brainstorm to identify

potential problems

Risk Assessment• Assess risk• Severity• Likelihood• Controllability

Risk Response Development• Plan to reduce possible damage• Make contingency plans

Risk Response Development• Plan to reduce possible damage• Make contingency plans

Risk Monitor/Control• Implement risk strategy• Monitor and adjust • Change management

Page 6: Resolutions for Unexpected  Site Challenges

6

Revealing & Planning for Vulnerable Operations

Generate list of possible risks Goal = Find potential problems before they happen

Break into task areas Brainstorm Past experience

Focus on events that could create unwanted outcome

Events OutcomesShipping delays Failure to meet schedule

Toy on stairs Staff member breaks leg

Snow storm Opened late

Page 7: Resolutions for Unexpected  Site Challenges

7

Risk Event Outcome Impact Likelihood

Staff turnover

CTP Buy-in

Miscommunication

Informed Consent Errors

Risk Log

Revealing & Planning for Vulnerable Operations

1 2 3 4 5

Minor Risk

Moderate Risk

Major Risk

Page 8: Resolutions for Unexpected  Site Challenges

8

Risk Event Outcome Impact Likelihood

Stuck in traffic Missed client meeting

4 4

Risk LogDriving to Work in the Rain

Risk Assessment

Process

1 2 3 4 5

Minor

Risk

Moderate Risk

Major

Risk

Page 9: Resolutions for Unexpected  Site Challenges

9

Risk Assessment

Process

5

4

3

2

1

1 2 3 4 5

Lik

elih

oo

d

Impact Minor

Risk

Moderate Risk

Major Risk

Risk Severity Matrix Driving to Work in the Rain

Page 10: Resolutions for Unexpected  Site Challenges

10

Risk Assessment

Process

Risk Event Response to Risk

Contingency Plan

Trigger

Person Responsib

le

Stuck in traffic

Reduce, Share, Transfer or Accept risk

Leave 30 minutes early

Weather report

Jack

Risk Response MatrixDriving to Work in the Rain

Page 11: Resolutions for Unexpected  Site Challenges

11

Risk Event Outcome Impact Likelihood

Lag in CRF Completion

Missed data/increased data queries

4 4

Risk Log

Risk Assessment & Management

CASE STUDY

Jane, a new RA, is conducting all scheduled study visits but is often unable to complete and enter the CRFs within the required timeframe.

It is becoming increasingly difficult to remember visit specifics and she is concerned about the quality of the data.

1 2 3 4 5

Minor

Risk

Moderate Risk

Major

Risk

Page 12: Resolutions for Unexpected  Site Challenges

12

Risk Assessment & Management

Case Study

5

4

3

2

1

1 2 3 4 5

Lik

elih

oo

d

Impact Minor

Risk

Moderate Risk

Major Risk

Risk Severity Matrix

Page 13: Resolutions for Unexpected  Site Challenges

13

Risk Assessment & Management

Case Study

Risk Event Response to Risk

Contingency Plan

Trigger

Person Responsib

le

Lag in CRF Completion

Reduce, Share, Transfer or Accept risk

Training Time Management /Cross-train

QA visit/Data Queries

Project Manager

Risk Response Matrix

Page 14: Resolutions for Unexpected  Site Challenges

14

Group Discussion

Risk Assessmentand

Management Process

Page 15: Resolutions for Unexpected  Site Challenges

15

Risk Event Outcome Impact Likelihood

Risk Log

GroupDiscussion

1 2 3 4 5

Minor

Risk

Moderate Risk

Major

Risk

Page 16: Resolutions for Unexpected  Site Challenges

16

GroupDiscussion

5

4

3

2

1

1 2 3 4 5

Lik

elih

oo

d

ImpactMinor

Risk

Moderate Risk

Major Risk

Risk Severity Matrix

Page 17: Resolutions for Unexpected  Site Challenges

17

GroupDiscussion

Risk Event Response to Risk

Contingency Plan

Trigger

Person Responsib

leReduce, Share, Transfer or Accept risk

Reduce, Share, Transfer or Accept risk

Reduce, Share, Transfer or Accept risk

Reduce, Share, Transfer or Accept risk

Risk Response Matrix

Page 18: Resolutions for Unexpected  Site Challenges

18

Summary Risk Assessment Process

Reveals critical tasks in operationsPossibilities for disruption

Likelihood and impact ratingAppropriate response strategy

ToolsRisk event logRisk Severity MatrixRisk Response Matrix