As per ClinQua Inc. www.clinqua.com relationships exist on all levels of clinical development. Primarily, problems arise when there are fundamental breakdowns in the delegation of responsibilities or rather when someone is given control over a critical area when they are otherwise unqualified. In any discipline, the most qualified individuals are those that know how to utilize their resources in the most innovative and efficient ways. Individuals that design a clinical trial or who have direct control over its progression should have intimate knowledge and experience commensurate with the task at hand. Depending on an individual's expertise, they can direct a study to utilize the most cost-effective equipment, employ the most direct methods to complete the study protocol and avoid over planning and inadequate laboratory testing.