Latest posts

  • Justin Coffeen on Why Blame-First Sites Underreport

    Accountability and blame are not the same thing, and Justin Coffeen says the difference between them decides how much a research site ever finds out about its own problems. What this episode covers Why an explicit mission removes decision paralysis when two priorities compete Participant safety and data integrity as the two outcomes everything else…

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  • Justin Coffeen on Asking Questions That Get Honest Answers

    In a chronic pain clinic the patient’s report is the evidence. Justin Coffeen spent years learning that what someone says and what is happening are not always the same thing, and that the gap is usually the clinician’s to close. What this episode covers Why patients minimise, amplify, or report the number they think is…

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  • Justin Coffeen on Documenting During the Visit, Not After

    The monitoring visit is not when compliance happens. It is when somebody else checks whether compliance happened, and Justin Coffeen argues the gap between those two sentences is where most findings come from. What this episode covers Why documenting concurrent with a visit is a different activity than documenting at the end of the day…

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