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Quality Control and
Quality Assurance
Is There Really a Difference??
1
Twenty years of
industry experience
Clinical RN to Chief
Operating Officer
Patrick R. Ayd MBA, BSN, RN
President/CEO/Lead Auditor
of ClinPharm Network, Inc.
2
GCP audits & manage
Site QA programs
Workshop Goal
Identify the foundational “Building
Blocks” essential to the development of
a Quality Clinical Trial Site
3
4
Gain an increased perspective on FDA
expectations during and after an audit
Clarify the differences between Quality
Control (QC) and Quality Assurance (QA)
Comprehend the importance of Standard
Operating Procedures(SOP) in QC and QA
Conduct quality control review on actual
source documents
Workshop Objectives
1
2
3
4
5
Receive a valid quality control (QC) SOP
template
Why is a “Quality”
Organization Critical?
Business Development
PI is Solely Responsible
Data Acceptability
5
Quality Control Definition
Verifying and maintaining a desired
level of quality in an existing product
or service by careful planning, use of
proper tools, continued inspection,
and corrective action as required
6
Quality Assurance Definition
A system for ensuring a desired level
of quality in the development,
production, or delivery of products and
services with continued inspection, and
corrective action as required
7
Quality
Control
vs.
Quality
Assurance
QC
Verifying and maintaining a
desired level of quality in An
Existing Product or Service
QA
System for ensuring A Desired
Level Of Quality in the
development, production, or
delivery of products or services
8
Key to Good Quality Control
Formal, Well
Documented
Process
Documentation
of QC Performed
Ink Stamp
Procedure
Involve Staff
In Process
Quality Control
9
Varying Degrees of Quality Control
(W)Hole
Checking
Consistent
Data
Believable
Data
10
Building Blocks of a QC SOP
11
Quality Control
Standard Operating Procedure
12
Define WHO will conduct the QC process
Define WHEN the QC process will be completed
What documents will be QC’d 100% of the time
The % of other documents that will be QC’d
Do not alter/modify sponsor provided or sites’ source
documents
Precisely describe the documentation process
Use the lower right reverse side method
Use “unusual” ink color for stamp
Flag documents that have problems
Do not stamp documents until complete problem resolution
Breakout Session
13
Review of Source Documentation
Documentation of Quality Control
30-45 Minutes
14
Quality Assurance Definition
A system for ensuring a desired level
of quality in the development,
production, or delivery of products and
services with continued inspection, and
corrective action as required
15
QA Function needs to be Truly
Independent of Clinical Function
Foundation of a
“Quality” Organization
SOPs and Training Program
Performance Evaluation System ++
Job Descriptions
17
Types of Quality Assurance
Audits
 Trial Specific Audit
 Facility GCP Audit
 In Process Audit
 Vendor Audit~
18
Trial Specific Audit
 High Enroller
 Out of your typical therapeutic area
 Poor monitoring
 Poor results from internal review~
19
Overall Facility GCP Audit
 Clinical Equipment Monitoring
 Sample Handling
 Informed Consent Process
 Training and Training Documentation
 Provision of Emergency Care
 Investigational Product (IP)/Drug
Accountability
 PI Involvement
 Screening
 Recruitment
 Data Collection 20
In Process Audit
Observe:
 Screening Visit
 Conduct of Informed Consent Process
 Investigational Product (IP)/Drug
Dispensing
 Adverse Event (AE) Assessment
21
Vendor Audit
 Pharmacy Provider
 Long term Storage Facility
 Local Laboratory
 Local IRB~
22
Quality Assurance Cycle
Process
Issue
EvaluateChange?
Training
23
CAPA
Documentation of a Quality
Assurance Program
 Binder that keeps all information
in one place
 Protected QA Documents
 Audit Reports
 CAPA Plans
 Audit Certificates
 Reviewer of all SOPs
24
Perspective on an FDA Audit
During an Audit
Organized
regulatory binders
Organized patient
charts
Organizational chart
Training records
After an Audit
No more “Further
Avoidance of Same”
Don’t throw anyone under
the bus
Vague terms of changes
made or improvements
Quality Assurance/
Improvement program in
place
25
26
Questions?
Comments?
References
Dictionary.com
27

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Quality Control and Quality Assurance, Is there really a difference?

  • 1. Quality Control and Quality Assurance Is There Really a Difference?? 1
  • 2. Twenty years of industry experience Clinical RN to Chief Operating Officer Patrick R. Ayd MBA, BSN, RN President/CEO/Lead Auditor of ClinPharm Network, Inc. 2 GCP audits & manage Site QA programs
  • 3. Workshop Goal Identify the foundational “Building Blocks” essential to the development of a Quality Clinical Trial Site 3
  • 4. 4 Gain an increased perspective on FDA expectations during and after an audit Clarify the differences between Quality Control (QC) and Quality Assurance (QA) Comprehend the importance of Standard Operating Procedures(SOP) in QC and QA Conduct quality control review on actual source documents Workshop Objectives 1 2 3 4 5 Receive a valid quality control (QC) SOP template
  • 5. Why is a “Quality” Organization Critical? Business Development PI is Solely Responsible Data Acceptability 5
  • 6. Quality Control Definition Verifying and maintaining a desired level of quality in an existing product or service by careful planning, use of proper tools, continued inspection, and corrective action as required 6
  • 7. Quality Assurance Definition A system for ensuring a desired level of quality in the development, production, or delivery of products and services with continued inspection, and corrective action as required 7
  • 8. Quality Control vs. Quality Assurance QC Verifying and maintaining a desired level of quality in An Existing Product or Service QA System for ensuring A Desired Level Of Quality in the development, production, or delivery of products or services 8
  • 9. Key to Good Quality Control Formal, Well Documented Process Documentation of QC Performed Ink Stamp Procedure Involve Staff In Process Quality Control 9
  • 10. Varying Degrees of Quality Control (W)Hole Checking Consistent Data Believable Data 10
  • 11. Building Blocks of a QC SOP 11
  • 12. Quality Control Standard Operating Procedure 12 Define WHO will conduct the QC process Define WHEN the QC process will be completed What documents will be QC’d 100% of the time The % of other documents that will be QC’d Do not alter/modify sponsor provided or sites’ source documents Precisely describe the documentation process Use the lower right reverse side method Use “unusual” ink color for stamp Flag documents that have problems Do not stamp documents until complete problem resolution
  • 13. Breakout Session 13 Review of Source Documentation Documentation of Quality Control
  • 15. Quality Assurance Definition A system for ensuring a desired level of quality in the development, production, or delivery of products and services with continued inspection, and corrective action as required 15
  • 16. QA Function needs to be Truly Independent of Clinical Function
  • 17. Foundation of a “Quality” Organization SOPs and Training Program Performance Evaluation System ++ Job Descriptions 17
  • 18. Types of Quality Assurance Audits  Trial Specific Audit  Facility GCP Audit  In Process Audit  Vendor Audit~ 18
  • 19. Trial Specific Audit  High Enroller  Out of your typical therapeutic area  Poor monitoring  Poor results from internal review~ 19
  • 20. Overall Facility GCP Audit  Clinical Equipment Monitoring  Sample Handling  Informed Consent Process  Training and Training Documentation  Provision of Emergency Care  Investigational Product (IP)/Drug Accountability  PI Involvement  Screening  Recruitment  Data Collection 20
  • 21. In Process Audit Observe:  Screening Visit  Conduct of Informed Consent Process  Investigational Product (IP)/Drug Dispensing  Adverse Event (AE) Assessment 21
  • 22. Vendor Audit  Pharmacy Provider  Long term Storage Facility  Local Laboratory  Local IRB~ 22
  • 24. Documentation of a Quality Assurance Program  Binder that keeps all information in one place  Protected QA Documents  Audit Reports  CAPA Plans  Audit Certificates  Reviewer of all SOPs 24
  • 25. Perspective on an FDA Audit During an Audit Organized regulatory binders Organized patient charts Organizational chart Training records After an Audit No more “Further Avoidance of Same” Don’t throw anyone under the bus Vague terms of changes made or improvements Quality Assurance/ Improvement program in place 25

Hinweis der Redaktion

  1. Click to add text Industry experience spanning 20 years Have held positions from clinical RN to COO President/CEO/Lead Auditor of ClinPharm Network, Inc. Conduct site audits and manage independent Quality Assurance programs
  2. “Take Away”-Solid Quality Control SOP
  3. NO need to click for text to appear “Take Away”-Solid Quality Control SOP template
  4. Click to add text For the obvious reasons Any Site Owners or PIs in the room?? The PI has to have the confidence that all delegated tasks are being performed as s/he wants them performed
  5. Verifying And Maintaining A Desired Level Of Quality In An Existing Product Or Service by Careful Planning, Use Of Proper Tools, Continued Inspection, and Corrective Action as Required System For Ensuring A Desired Level Of Quality In The Development, Production, Or Delivery Of Products & Services With Continued Inspection,& Corrective Action as Required
  6. Click to add text Formal, Well Documented Process (SOP) Documentation of QC Performed Involve Entire Staff in Process Description of Ink Stamp Procedure-Lower right reverse side method We’ll discuss further in a bit when we discuss the Quality Control SOP
  7. Click to add text This is where team work becomes critical Whole checking: Is the document whole? Are there any holes that need to be completed i.e. signatures, initials, data, etc. Believable Data: Does the data make sense i.e. BP 80/120, HR 312, LMP data in a male chart Consistent Data: Is the data consistent, BP at last visit 102/60, now 140/88, HR changes, no middle initial used prior, now present, etc.
  8. In order to check if certain processes were done correctly you need to have a solid base of SOPs, which includes of course an SOP on the Quality Control process.
  9. Your SOP needs to define WHO will conduct the QC process WHEN the QC process will be done (can be different by document, i.e. ICF) WHAT documents will be QC’d 100% i.e. ICFs WHAT % of standard documents will be QC’d HOW the QC process will be documented
  10. Quality Assurance looks at larger processes versus individual completed documents. Is there a system or tools in place to ensure quality?
  11. Report Directly to CEO or Medical Director-based on organizations size and structure The Quality Assurance person can’t be constantly worried about job stability because of reporting problems or performance issues For most organizations the answer is to outsource the Quality Assurance function, it’s cheaper and much more effective
  12. Though only 3 blocks, there are 6 basic tenants of a quality organization separate pieces—add Quality Control and Quality Assurance programs These are must haves in order to run an efficient Quality Assurance program internally or externally Job Description: Lets the employee know what procedures/tasks they are responsible for SOPs: Shows employees how the procedures/tasks are performed at our trial site Training: Train the employees on a regular basis how to perform the procedures/tasks they are responsible for Performance Evaluation: Lets the employee know how they are performing to the standards that have been set (yes this is a pain) WITHOUT ALL 4 IT IS DIFFICULT TO CREATE AND IMPLEMENT A CAPA WHEN ISSUES IDENTIFIED BE IT INTERNALLY OR EXTERNALLY IDENTIFIED.
  13. Don’t explain specifics, slides to follow
  14. Click to start text
  15. Just to list a few, there are many more
  16. Click to start text This is just a list of examples. Can you think of any others??
  17. Click to start text
  18. Click to add Critical Link text after change and training
  19. I have been through 11 FDA audits and have helped “clean up” after another 5. Spend the money necessary to purchase good binders and section dividers Don’t rush to recycle binders and section dividers If a 483 is issued and you respond, Nothing worse than “your response was unacceptable, no further response required”.