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Multi-regulator · GVP · Post-Marketing · Last reviewed: 2026-02-23

Literature Surveillance — Regulatory Expectations

Literature surveillance must be controlled, reproducible, and evidenced.

Inspectors look for defined search strategies, documented screening decisions, and governance oversight.

This map defines the evidence objects and failure patterns most commonly associated with findings.

Inspection triggers

  • High ICSR volumes with unclear literature capture routes
  • Inconsistent screening evidence across months
  • Vendor use without documented oversight

What inspectors verify

  • Defined, controlled search strategies and sources
  • Documented screening and inclusion/exclusion decisions
  • Evidence of periodic oversight and follow-up actions
  • Traceability from literature hit → assessment → ICSR decision where applicable

Evidence map

Literature screening and review SOP

  • Scope, sources, frequency, responsibilities
  • Inclusion/exclusion criteria and escalation to case processing

Literature search log

  • Search dates, databases, strings, results counts
  • Screening outcomes and follow-up actions

Oversight meeting minutes

  • Monthly governance agenda/minutes
  • Actions, owners, and follow-up to closure

Common failure patterns

Search strategy not controlled or repeatable

Why it happens: Search strings/sources change ad hoc; evidence of cadence and execution is incomplete.

What inspectors do: Inspectors request historical proof of consistent searches and challenge traceability.

Screening decisions undocumented

Why it happens: Teams screen in email/notes with no controlled record.

What inspectors do: Absence of evidence is treated as non-compliance; findings focus on record integrity.

What good looks like

  • Search strategy control (versioned strings/sources/cadence)
  • Complete screening and disposition evidence
  • Governance oversight with actions tracked to closure

Operationalisation

  • Use a controlled search log and standardised screening workflow
  • Hold a monthly oversight meeting with documented actions
  • Periodically audit sample months for completeness and traceability

Mapped toolkits

These toolkits operationalise the evidence expectations above. Masters remain immutable; customers edit their own copies.

Literature Screening and Review Toolkit

Provides the SOP, controlled logs, and governance artefacts to operationalise compliant literature surveillance.

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