This paper explains that a digital workforce uses AI/ML and automation to perform repetitive tasks, freeing clinical staff for higher‑value work. Adoption has been slow because of limited digitisation, lack of interoperability, regulatory uncertainties and staff concerns. Benefits include early signal detection and faster patient recruitment; ML models can review data from thousands of patients in minutes. Success factors include sponsor oversight, digital literacy training, change management, interoperable systems and end‑to‑end strategies. IQVIA’s oversight platform unifies data, uses AI to identify high‑risk sites and automates reporting.

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