Efficient communication is a challenge for the many operating components of a multicenter randomized clinical trial. Traditional management theory states that communications generally flow along a path established by a hierarchical organizational structure. A multicenter clinical trial does not fit traditional organizational models well and requires modification of traditional communication techniques. While the scientific community typically views a clinical trial as one large and cohesive enterprise, at each site the trial may actually be conducted as a small project related to the medical specialty of the investigator. Therefore overall trial management must be accomplished through collaboration rather than through direct management. In the Bypass Angioplasty Revascularization Investigation (BARI), the BARI clinical coordinating center has designed and utilized several mechanisms that facilitate effective communication and administrative control of a multicenter clinical trial. These mechanisms provide a framework of communication techniques that accommodate the specific needs of a complex organization.

• MeSH
• balónková koronární angioplastika * MeSH
• interinstitucionální vztahy MeSH
• komunikace MeSH
• koronární bypass * MeSH
• koronární nemoc terapie   MeSH
• lidé MeSH
• multicentrické studie jako téma * metody   MeSH
• počítačové komunikační sítě MeSH
• randomizované kontrolované studie jako téma * metody   MeSH
• telekomunikace MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• klinické zkoušky MeSH
• Research Support, U.S. Gov't, P.H.S. MeSH
• Geografické názvy
• Česká republika MeSH
• Spojené státy americké MeSH