Question 01:
Is it acceptable to link quality risk
management with cost saving measures?
Best Answer: The
expectation of QRM is to assess risks to the medicinal product and patient and manage
these to an
acceptable level. It is appropriate for companies to assess their control
systems to implement the optimum
controls to ensure product quality and patient safety.
If
this can be achieved in a more cost effective manner while maintaining or
reducing risk to the product and patient then this is acceptable.
However
inappropriate risk assessment and mitigation in order to achieve cost savings
is not appropriate.
Question 02:
What is the difference between a
planned and unplanned risk assessment?
Best Answer: A
planned risk assessment is one that is conducted in advance of conducting an
activity, either before any
activity is conducted or before further activity is conducted.
This
would often allow quality to be built in to activities and risk reduced
(quality by design) eg design of facilities for manufacture of cytotoxic
products or organisation/design of a label printing room.
An
unplanned risk assessment is one that is conducted to assess the impact of a
situation that has already occurred, eg impact of a deviation from normal ways
of working.
Question 03:
Are any areas out of bounds for risk
assessment?
Best Answer: It
would be unacceptable for risk assessment to conclude that statutory,
regulatory or GMP requirements
should not be followed or are not appropriate eg risk assessment could not
conclude that
it was appropriate for licensed products to be released by someone who was not
a qualified person
(QP).
Otherwise
risk assessments can be used within GMP systems as a tool to identify,
quantify
and minimize and control risk to patient safety.
Question 04:
Do risk assessments have to be
supported by factual evidence or can they just use
professional judgment?
Best Answer: There
should be factual evidence recorded to support any conclusions drawn eg plant
design details in controlling
cross contamination - an unsupported assumption that the plant must be suitably
designed as
we have used it for 10 years or we’ve had a standard operating procedure (SOP)
for five years so it must
be suitable is a weak approach that may be unfounded and must be challenged by
those conducting
risk assessments.
Professional
judgment should be used in interpretation of factual evidence but must be
subject to justification.
Question 05:
How should risk assessments be
controlled?
Best Answer: Risk
assessments should be controlled within a defined document management system.
If risk assessments
are conducted to justify controls for an ongoing process then the assessments
should be subject
to change control and periodic review, eg line clearance risk assessment.
Frequency
of review should be appropriate for the nature of the process. Such risk
assessments should be seen as living documents that are visible and subject to
change as and when required.
Risk
assessments that were conducted as one off activities to assess a situation
that will not recur need not be controlled in a ‘live’ manner but must be
documented, approved and retained eg assessment of a temperature excursion on
storage of a batch of starting material.
Such
‘one off’ activities should be controlled as live documents if any conclusions
are to be used in any future excursions. Ultimately these may then need to be
reviewed in light of experience or developments.
Question 06:
Is it acceptable to allow external
consultants to participate in site risk assessments?
Best Answer: It
may be appropriate for consultants to provide support for risk assessments
where they can provide specific
expertise or knowledge. Their role in the risk assessment should be clear.
The
reason for delegation and resultant accountability must be understood.
Inspectors will expect sites to demonstrate
that delegation was effective and that appropriate skill, knowledge, local
knowledge and local
accountability was appropriate for the life cycle of the risk assessment.
A
technical agreement may be appropriate with the consultant where GMP
responsibility is assumed.
Question 07 :
Is it acceptable to allow contract
staff to participate in site risk assessments?
Best Answer: It
would be usual for contract staff, eg contract QPs to lead or participate in
risk assessments. The extent
of involvement as responsibility/accountability must be documented in the
technical agreement between
the individual and the organisation.
Question 08:
How do inspectors
deal with the risk assessment if a residual risk remains in the review?
Best Answer: ICH
Q9 clearly points out that there will always be resi-dual risks. What residual
risks are acceptable always
depends on their potential influences on patients. Principally the residual
risk is not the problem
but possibly its level.
Question 09:
At which phases of
the system life-cycle is risk management recommended?
Best Answer: Risk management should be applied throughout the whole
life-cycle. A first risk assessment should be performed to determine the GMP
criticality of the system, i.e. does the system have an impact on patient
safety, product quality or data integrity?
User-requirement specifications are usually developed with
consideration of potential risks and form the basis for the first formal risk
assessment. Complex systems should be evaluated in further more detailed risk
assessments to determine critical functions.
This will help ensure that validation activities cover all
critical functions. Risk management includes the implementation of appropriate
controls and their verification.
Question 10:
In what way can the
URS be created on the basis of a risk analysis if the risk analysis requires an
URS as a pre- requisite?
Best Answer: URS
and risk analysis are two elements within the context of validation of
computerised systems which
are closely linked with each other.
Requirements
can result from a risk analysis but on the other hand it is possible to reach
functional solutions on the basis of user requirements on the assessment of
risks.
“Trust but Verify “ Ronald Re
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