Institutional governance · live ledger

Operational Governance

Continuous oversight across editorial, peer-review, statistical, regulatory, pharmacovigilance and AI-synthesis workflows. Every action is timestamped, attributable and traceable to a named reviewer or governed system.

SLA · triage 18h

Decision · 21d median

Acceptance · 34%

Active manuscripts

In peer review

Statistical review

Medical review

Production

Published YTD

312

Editorial queue · live

6 of 47 shown

MS-2026-0418
GLP-1 receptor agonists in HFpEF: pooled analysis
2 reviewers · 3d in stage
medical review expedited
MS-2026-0423
Wastewater SARS-CoV-2 nowcasting in West Africa
2 reviewers · 1d in stage
peer review
MS-2026-0411
Pediatric sepsis bundles: cluster-randomized trial
3 reviewers · 5d in stage
stats review urgent
MS-2026-0399
Antimicrobial stewardship in Lagos tertiary care
2 reviewers · 8d in stage
production
MS-2026-0404
Maternal anemia in low-resource settings: living review
0 reviewers · 6h in stage
triage
MS-2026-0387
Tuberculosis MDR genomic surveillance pipeline
2 reviewers · 12d in stage
indexing expedited

Workflow stream

last 4h

11:42 · peer-review
Prof. Lin Wei approved revision MS-2026-0418 · GLP-1 in HFpEF
10:58 · pharmacovigilance
Signal Engine escalated cluster Semaglutide · pancreatitis (n=41)
10:21 · outbreak
Epi Watch stage advanced → containment Cholera · Lagos cluster #C-2026-07
09:47 · regulatory
Dr. A. Diallo flagged label change EMA · empagliflozin renal warning
09:12 · ai
TICH-Synthesis v4.2 re-synthesized evidence Article · Type 2 diabetes management
08:34 · editorial
H. Martín assigned reviewers (2) MS-2026-0423 · Wastewater nowcasting
07:55 · peer-review
Dr. E. Park submitted review MS-2026-0411 · Pediatric sepsis
07:12 · ai
Retraction Watch Bot verified citation integrity 188 articles scanned · 0 retractions

Clinical Governance Board

84 reviewers · 6 divisions

Verifies medical accuracy, GRADE evidence levels and bedside applicability.

Regulatory Affairs Council

21 advisors · WHO/FDA/EMA liaisons

Tracks label changes, advisories, and emergency-use authorizations across jurisdictions.

Pharmacovigilance Unit

Signal engine · 24/7

Continuous ADR clustering, disproportionality analysis and escalation to regulatory partners.