Insights

Building a Controlled ICSR Workflow

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MGS CSV & Digital Quality Team
September 1, 2026
1 min read

A strong ICSR workflow is not just about processing cases—it is about maintaining accuracy, traceability, timely review, and regulatory control at every stage.

A controlled workflow helps ensure that safety information is consistently captured, medically assessed, quality reviewed, reported within timelines, and retained with a complete audit trail.

Key Workflow Stages

  • Case receipt and book-in
  • Validity assessment
  • Duplicate check
  • Data entry and coding
  • Seriousness and causality assessment
  • Quality review
  • Medical review
  • Client / PVOIC review, where applicable
  • Regulatory reporting
  • Case locking
  • Archival and retrieval

Key Controls

  • Clear roles and responsibilities
  • Defined review stages
  • MedDRA and drug coding consistency
  • Follow-up management
  • Reporting timeline tracking
  • Complete case narrative
  • Audit trail maintenance
  • Submission acknowledgment tracking

Common Gaps

Unclear workflow ownership, missed review steps, inconsistent coding, incomplete narratives, delayed follow-up, weak timeline tracking, and uncontrolled case closure can affect case quality and compliance.

Practical Approach

Receive | Assess | Process | Review | Approve | Report | Lock | Archive

Each stage should be clearly defined, documented, and traceable within the safety system.

How MGS Can Support

MGS supports organizations with:

  • ICSR Case Management
  • Safety Database Management
  • Quality Review
  • Medical Review
  • Regulatory Reporting Support
  • Workflow Configuration Support
  • PV SOP Development
  • PV Quality & Compliance

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Written by

MGS CSV & Digital Quality Team

Insights and expertise from the Mediature GxP team.

Control the Workflow. Protect the Safety Data.

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