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Quality Systems Approach Overview


                   Corrective &
                    Preventive
                     Actions         Production &
Design Controls
                                    Process Controls

                   Management

   Material                          Equipment &
   Controls                         Facility Controls
                     Records,
                   Documents, &
                  Change Controls
Quality System
Alignment and Integration

            Continuous Improvement


      Design      Execute       Monitor/Control

 Design – determine what is really important
 Execute – translate into service and manufacturing
 Monitor/Control – translate into quality assurance
Example: Pharmaceutical
Capability and Control Cycle
                                     Development History


                                Integrated Validation Master Plan
                                process    product     systems
Begin with the End in Mind
2.    Compliant                                                         Establish shared standards
3.    Capable                       Process Flow Document               and expectations
4.    Robust
5.    In Control
6.    Continuously Improving         Technology Transfer


                                         Qualification
 Document with FDA in Mind
 2.  Clear                                                             Execute and monitor with
 3.  Concise                    Validation process and product         best business practices.
 4.  Correct
 5.  Complete                     Execute, Monitor and Control
 6.  Confident

   Technical Evaluations process and product         Quality (GMP) Evaluations quality systems


       Change Control process and product            Change Control quality systems
                                                                      Assess results against the
                                                                      standards and practices.
                               Quality Management System
Balanced Scorecard
Behavior Needed

Dominance

Influence

Conscientiousness

Steadiness

Selection
Situation

People

Action


Result


Consequence
Scenario

Worst Case

Most Likely Case


Best Case


Decision
Plan


Approach


Deployment


Result
Responsibility of Highest Level
of Management

  Establish Quality Policy

  Ensure that it is followed
Delegation by Management
with Executive Responsibility

  Establishment of quality objectives

  Translation of objectives into
  methods and procedures

  Implementation of quality system
How does Management Assure
an Effective Quality System?

           CAPA




                     Management
 Audits
                       Review
How to Demonstrate Compliance

  Procedures ...
  Verbal Communications
  Written records and documents
Establish [21 CFR 820.3(k)]

 Define

 Document

 Implement
Key Elements of a Quality Manual
1. Generation and maintenance of master production
     batch records.
2.   Generation of routine batch records
3.   Generation and maintenance of Standard Operating
     Procedures
4.   Generation and maintenance of preventive maintenance
     procedures
5.   Generation and maintenance of calibration procedures
6.   Generation and maintenance of equipment logbooks
7.   Generation and maintenance of cleaning procedures
8.   Generation and maintenance of deviation/failure reports
9.   Generation of rework procedures
Key Elements of a Quality Manual
 1.    Training programs and records for all employees
 2.    In-coming inspection program for raw materials
 3.    In-process analytical checks during processing
 4.    Inventory control

 6.    Validation of equipment/systems/processes
 7.    Cleaning validation
 8.    Analytical methods validation
 9.    Computer/controller validation
 10.   Validation change control
 11.   Revalidation program
Key Elements of a Quality Manual
1. Audit programs - internally and externally
2. Qualification of vendors
3. Quality Control testing (in-process and finished product
    testing)
4. Complaint handling program
5. Annual product reviews
6. Stability Program
7. Sample retention program
8. Documentation control/storage
9. Labeling and label control
10. Specification development
11. Generation and validation of analytical methods
Writing and Managing
Standard Operating Procedures
 Controls
 Approvals
 Formatting
 Readability
 Change History
 Cross References
Developing Batch Records                                              CFR 211.188




 Prepared for each batch of drug
 product produced
 Include complete information
 relating to production and control of
 each batch (signed, dated and checked accurate reproduction of
 master production or control record, documentation of accomplished significant
 steps in manufacture, processing, packing or holding – dates, equipment and lines,
 specific identification of components and in-process material, ….)
Document Management
 Structure
 Segregation
    Documents in Review
    Documents in Approval
    Effective Documents
    Archived Documents

 Control
Complaint Management                      CFR 211.198




 Mechanism
    Designated person in quality group
    Logged with unique number
    Sender
    Detail
    Sample
       Appropriate storage conditions

    Investigation methodology
    Response
    Reference book
Annual Product Review                               CFR 211.180 (e)




 FDA Requirement
 Annual Reports
     Summary of all findings
     Sent to FDA by product NDA anniversary date

 Review of batches
     Deviations
     Failures
     Out of Specifications
     Stability Profiles
     Visual verification
        Retained samples
Managing Regulatory Training
Compliance                CFR 211.25


  Education, Training, and Experience
  Enable to perform assigned functions
     Particular operations performed
     Current Good Manufacturing Practice
     Written procedures related to assigned functions

  Continuing basis
  Sufficient frequency
  Documented
  Follow-up
How does Management Assure
an Effective Quality System?

           CAPA




                     Management
 Audits
                       Review
(Your Organization’s Name)
    Regulatory Responsibilities
    Job Title/Employee       Quality System   21 CFR Part 211 Subparts

                                              A    B     C    D     E    F   G   H   I   J   K

                                                                                              

                                                                                              

                                                                                              
                                                                                              

                                                                                              

                                                                                              

                                                                                              
                                                                                              

                                                                                              

                                                                                              

                                                                                              

                                                                                              
                                                                                              

                                                                                              
Management
                         Production &
 Design Controls
                        Process Controls

              Corrective &
               Preventive
                Actions
Material                        Equipment &
Controls                       Facility Controls
                Records,
              Documents, &
             Change Controls

              Controls
(Your Organization’s Name)
Regulatory Responsibilities


• What are the responsibilities?
• Where are the gaps?
• What are the risks?
• What are the consequences?
• What are the opportunities?
• What are the rewards?
QUESTIONS

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Quality Systems Approach Overview

  • 1. Quality Systems Approach Overview Corrective & Preventive Actions Production & Design Controls Process Controls Management Material Equipment & Controls Facility Controls Records, Documents, & Change Controls
  • 2. Quality System Alignment and Integration Continuous Improvement Design Execute Monitor/Control Design – determine what is really important Execute – translate into service and manufacturing Monitor/Control – translate into quality assurance
  • 4. Capability and Control Cycle Development History Integrated Validation Master Plan process product systems Begin with the End in Mind 2. Compliant Establish shared standards 3. Capable Process Flow Document and expectations 4. Robust 5. In Control 6. Continuously Improving Technology Transfer Qualification Document with FDA in Mind 2. Clear Execute and monitor with 3. Concise Validation process and product best business practices. 4. Correct 5. Complete Execute, Monitor and Control 6. Confident Technical Evaluations process and product Quality (GMP) Evaluations quality systems Change Control process and product Change Control quality systems Assess results against the standards and practices. Quality Management System
  • 8. Scenario Worst Case Most Likely Case Best Case Decision
  • 10. Responsibility of Highest Level of Management Establish Quality Policy Ensure that it is followed
  • 11. Delegation by Management with Executive Responsibility Establishment of quality objectives Translation of objectives into methods and procedures Implementation of quality system
  • 12. How does Management Assure an Effective Quality System? CAPA Management Audits Review
  • 13. How to Demonstrate Compliance Procedures ... Verbal Communications Written records and documents
  • 14. Establish [21 CFR 820.3(k)] Define Document Implement
  • 15. Key Elements of a Quality Manual 1. Generation and maintenance of master production batch records. 2. Generation of routine batch records 3. Generation and maintenance of Standard Operating Procedures 4. Generation and maintenance of preventive maintenance procedures 5. Generation and maintenance of calibration procedures 6. Generation and maintenance of equipment logbooks 7. Generation and maintenance of cleaning procedures 8. Generation and maintenance of deviation/failure reports 9. Generation of rework procedures
  • 16. Key Elements of a Quality Manual 1. Training programs and records for all employees 2. In-coming inspection program for raw materials 3. In-process analytical checks during processing 4. Inventory control 6. Validation of equipment/systems/processes 7. Cleaning validation 8. Analytical methods validation 9. Computer/controller validation 10. Validation change control 11. Revalidation program
  • 17. Key Elements of a Quality Manual 1. Audit programs - internally and externally 2. Qualification of vendors 3. Quality Control testing (in-process and finished product testing) 4. Complaint handling program 5. Annual product reviews 6. Stability Program 7. Sample retention program 8. Documentation control/storage 9. Labeling and label control 10. Specification development 11. Generation and validation of analytical methods
  • 18. Writing and Managing Standard Operating Procedures Controls Approvals Formatting Readability Change History Cross References
  • 19. Developing Batch Records CFR 211.188 Prepared for each batch of drug product produced Include complete information relating to production and control of each batch (signed, dated and checked accurate reproduction of master production or control record, documentation of accomplished significant steps in manufacture, processing, packing or holding – dates, equipment and lines, specific identification of components and in-process material, ….)
  • 20. Document Management Structure Segregation  Documents in Review  Documents in Approval  Effective Documents  Archived Documents Control
  • 21. Complaint Management CFR 211.198 Mechanism  Designated person in quality group  Logged with unique number  Sender  Detail  Sample  Appropriate storage conditions  Investigation methodology  Response  Reference book
  • 22. Annual Product Review CFR 211.180 (e) FDA Requirement Annual Reports  Summary of all findings  Sent to FDA by product NDA anniversary date Review of batches  Deviations  Failures  Out of Specifications  Stability Profiles  Visual verification  Retained samples
  • 23. Managing Regulatory Training Compliance CFR 211.25 Education, Training, and Experience Enable to perform assigned functions  Particular operations performed  Current Good Manufacturing Practice  Written procedures related to assigned functions Continuing basis Sufficient frequency Documented Follow-up
  • 24. How does Management Assure an Effective Quality System? CAPA Management Audits Review
  • 25. (Your Organization’s Name) Regulatory Responsibilities Job Title/Employee Quality System 21 CFR Part 211 Subparts     A B C D E F G H I J K                                                                                                                                                                                                                                                                                                                                                                            
  • 26. Management Production & Design Controls Process Controls Corrective & Preventive Actions Material Equipment & Controls Facility Controls Records, Documents, & Change Controls Controls
  • 27. (Your Organization’s Name) Regulatory Responsibilities • What are the responsibilities? • Where are the gaps? • What are the risks? • What are the consequences? • What are the opportunities? • What are the rewards?