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    Clinical Trial Protocol Deviation Triage

    1

    Route protocol-deviation evidence before significance, safety, or reporting gets guessed.

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    Clinical Trial Protocol Deviation Triage

    Clinical Trial Protocol Deviation Triage

    Example session with this skill installed

    Use $clinical-trial-protocol-deviation-triage to triage this documented deviation. Protocol window: PK specimen at 10:00 ±5 minutes. Actual collection: 10:14 after a centrifuge alarm. Immediate action: specimen labeled and frozen; no participant symptoms documented. Two similar window deviations occurred this month. Separate participant-safety, data-reliability, recurrence, containment, CAPA, eligibility, and reporting evidence. Do not make the final significance or reportability decision.

    • Read your context and instructions
    • Compiled the clinical trial protocol

    Triage summary

    The timing excursion is confirmed: the specimen was collected 14 minutes after the target and 9 minutes beyond the allowed upper limit. The supplied record does not establish participant harm, but it also does not include a completed safety assessment. Data interpretability remains unresolved because the effect of the delay on the PK endpoint was not supplied. Two prior similar events create a recurrence signal.

    Evidence matrix

    • Protocol compliance: CONFIRMED DEVIATION — expected window and actual timestamp are both supplied.
    • Participant safety: DECISION REQUIRED — no symptoms are documented, but qualified safety review is missing.
    • Data reliability: DECISION REQUIRED — assay and PK-impact evidence are absent.
    • Recurrence: ESCALATED — two related events were reported in the same month.
    • Containment: PARTIAL — specimen control is documented; workflow control restoration is not.
    • Root cause/CAPA: OPEN — centrifuge alarm is an initiating condition, not yet a verified root cause.

    Provisional route

    EXPEDITED SPONSOR REVIEW. This is a routing outcome, not a serious-noncompliance, eligibility, exclusion, or reportability conclusion.

    Next evidence

    Obtain the participant-safety assessment, bioanalytical/PK impact review, current SOP decision rule, alarm and maintenance history, and named sponsor decision owner.

    Connects securely to your tools. The creator never sees your data.

    What you get

    Generate review-ready deviation packets for sponsor oversight.Map impact on participant safety and data integrity per ICH GCP.Identify missing evidence needed for IRB/IEC reportability decisions.Differentiate between isolated errors and systemic recurrence risks.

    About this skill

    Clinical Trial Protocol Deviation Triage turns a documented protocol deviation into a reviewable evidence packet instead of a one-label judgment. It freezes expected versus actual evidence, separates participant protection from data reliability, tests recurrence, records containment and correction, develops root-cause hypotheses, and routes significance, reportability, eligibility, and CAPA decisions to accountable qualified owners.

    The package includes a complete worked PK-window case, a machine-readable JSON output, a deterministic validator, forward-test cases, official-source notes, and a six-page buyer guide. It never makes medical, reportability, eligibility, serious-noncompliance, regulatory-filing, or legal decisions.

    How to install

    Works the same in every agent - Claude, Cursor, Codex, Copilot and 20+ more.

    ~30 seconds
    1. 1

      Download the ZIP

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    2. 2

      Unzip into your skills folder

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    3. 3

      Ask your agent to use it

      Restart the agent if it was already running. It picks the skill up automatically - no config needed.

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    Trust & safety

    Security scanned

    Verified clean 22 days ago

    • Passed all security checks, Safe to install

    Listed22 days ago

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