Abstract
Circulating written drafts and conducting roundtable reviews are two important document-development activities in many work sites. Previous studies suggest that review processes are frustrating for participants and have substantial inefficiencies caused by conflicting participant purposes. This article presents two case studies of the document-review practices for clinical study reports from a large pharmaceutical company, paying particular attention to whether review efforts contributed to improvements in document quality. Findings suggest that document review did not lead to demonstrable improvement in report quality. The authors offer recommendations for improving document-review practices.