This insightful and very popular paper is published in Trials (2010), and discusses efficient trial management, the role of the trial manager, management systems, and so on.
Click below for the full link.
Managing clinical trials, of whatever size and complexity, requires efficient trial management. Trials fail because tried and tested systems handed down through apprenticeships have not been documented, evaluated or published to guide new trialists starting out in this important field. For the past three decades, trialists have invented and reinvented the trial management wheel. We suggest that to improve the successful, timely delivery of important clinical trials for patient benefit, it is time to produce standard trial management guidelines and develop robust methods of evaluation.
Full article available here: http://www.trialsjournal.com/content/11/1/78
You may also be interested in "A Guide to Efficient Trial Management", available online from the Trial Manager's Network: http://www.nihr.ac.uk/documents/about-NIHR/NIHR-Publications/Trial-managers-network-guidelines.pdf