Auditing a clinical trial is a complex process designed to ensure that
the trial will provide a reliable answer to the question being posed.
Traditional auditing methods are expensive, and escalate the cost of
clinical trials. This paper describes approaches to cost-effective mon
itoring of clinical trials, such as integrating them with clinical pra
ctice and focusing the data being collected. Sampling methods for sour
ce documentation can be used to eliminate costs incurred by reviewing
every record. These measures, coupled with prospective clinical judgme
nt about areas of concern in the conduct of trials, can reduce complic
ations and costs without sacrificing quality. (C) Elsevier Science Inc
. 1997.