Detecting clinical fraud

The detection of clinical fraud is not easy. Some formal scheme is necessary particularly if approaches to the problem are going to be carried forward into a training programme. A scheme that has been found to work well in practice is to consider the detection of fraud in four distinct steps:

1 The visit, normally by clinical research associate, medical research associate, or medical adviser

2 The return trial materials

3 The case record forms, patient diary cards, etc.

4 The final report.

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