Regulatory Compliance Newsletter

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							 The
 GMP
 Labeling
 System   TM
                                 Regulatory Compliance Newsletter
                                                                                                                              Spring 2007




      SOPs      Relay
                                                                          In FDA and ISO environments, the concept of
                                                                          quality is made tangible by the information
                                                                          and processes captured in SOPs, and correct
                                                                          implementation helps ensure quality.

      Knowledge
       By Cindy Fazzi
                                                       To facilitate cross-training of employ-

F
         rom manufacturers to hospitals to         I                                             that “written operating procedures shall
         the military, most organizations              ees on tasks they do not normally per-    be maintained and shall include all steps
         need standard operating proce-                form, such as when they need to           to be followed in the collection, process-
dures (SOPs) for a variety of reasons. An              substitute for vacationing or sick co-    ing, compatibility testing, storage, and
                                                       workers
SOP describes a procedure and tells an                                                           distribution of blood and blood compo-
operator how to perform it. SOPs are
                                                   I   To reduce safety risks and other haz-     nents for transfusion and further manu-
                                                       ards by specifying how to avoid and
helpful in most workplace settings, but                                                          facturing purposes” (Section 606.100b).
                                                       prevent them
they are particularly critical for organi-                                                          The Quality System Regulation (21
                                                   I   To have a basis for evaluation and
zations with process-oriented opera-                                                             CFR Part 820) for medical devices sim-
                                                       improvement of processes
tions, such as life sciences and other                                                           ilarly requires SOPs and documented in-
manufacturing companies.
                                                   I   To comply with regulations and
                                                                                                 structions that define and control the
                                                       quality standards.
   SOPs, in conjunction with personnel                                                           manner of production (Section 820.70).
training, help relay knowledge from one            Regulations and Standards                        Manufacturers and other organi-
department to another. In a medical de-                                  ¾
                                                      The last reason compliance with            zations that adhere to quality standards
vice firm, for example, research and de-
v e l o p m e n t s c ie n t is ts pa s s the ir
                                                                                       ¾
                                                   regulations and quality standards is a        developed by the International Organi-
                                                                                                 zation for Standardization (ISO) face
                                                   key factor that drives many organiza-
knowledge about a product they inno-               tions to establish and maintain SOPs. In      similar requirements.
vated to the manufacturing department              FDA and ISO environments, the concept              ISO 9001: 2000 and ISO 13485:
through SOPs.                                      of quality is made tangible by the infor-     2003, widely used throughout the world,
   Manufacturers with global operations            mation and processes captured in SOPs,        require companies to document their
also rely on SOPs to standardize pro-              and correct implementation of those           procedures, describe how those pro-
cesses in all of their facilities. For exam-       SOPs helps ensure quality.                    cesses interact and develop documents
ple, a Japanese automotive company will               FDA’s Current Good Manufacturing           for implementation of the quality sys-
train its personnel in the United States on        Practice (CGMP) regulations for fin-          tem. Compliance with ISO standards is
key manufacturing processes and then               ished pharmaceuticals (21 CFR Parts           voluntary, although certain countries re-
use SOPs to make sure that high quality            210-211) require written procedures for       quire ISO certification and many cus-
is reflected in every car sold by the com-         production and process control to ensure      tomers prefer vendors and suppliers that
pany, regardless of where it was assem-            that products have the identity, strength,    are ISO-certified.
bled.                                              quality and purity they purport to possess
   There are many other reasons why or-            (Section 211.100). These written proce-       Types of SOPs
ganizations use SOPs, including:                   dures, including any changes, must be            SOP formats are as varied as business
I To ensure consistent, repeatable                 reviewed and approved by the quality          operations. An SOP may come in the
  processes                                        control unit.                                 form of a checklist, a linear flowchart or
I To facilitate training by giving train-
                                                      CGMP regulations for blood and             some other type of flowchart, hierarchi-
  ees a point of reference                         blood components (21 CFR 606) state           cal steps or annotated photos.
                                      We hope this newsletter includes infor-         Businesses regulated by the FDA and/or
                                    mation that you can use. Our goal is to pe-       are ISO 9000 registered will find GMP
                                    riodically publish articles, written by quality   Labeling products helpful in maintaining
         Message from               professionals, that are timely and informa-       compliance. More than 5000 facilities in
                                    tive to the companies in our marketplace.
      GMP Labeling                  Of course, along the way, we also hope to
                                                                                      the U.S., Canada and Europe use GMP
                                                                                      Labeling products on a daily basis.
                                    reinforce our image as a valuable resource
                                    to our customers.

    Neither the FDA nor ISO require any            Search and retrieval of SOPs entails          nected to the training control process.
specific SOP formats. In general, how-             sorting through voluminous paper-             So, employees may be using new
ever, SOPs in regulated environments               work. Updating SOPs is equally slow.          SOPs, but they may be doing it poorly
are expected to be consistent and trace-           In addition to going through the same         without the appropriate training.
                                                   routing and approval process during       I   Ineffective documentation. Effective
able. They should provide document
                                                   revision, obsolete paper documents            implementation of SOPs has a direct
identification and facilitate control.             must be purged.                               impact on product quality; that is why
    To be effective, an SOP should in-         I   Poor communication. In a manual               it is critical for organizations to cap-
clude company name, a descriptive SOP              system, quality processes are not con-        ture accurate and up-to-date informa-
title, identification and control numbers,         nected, making it hard for people who         tion in SOPs. But it takes a lot of time
purpose, scope, responsibilities in -
       ¾
                                                   operate those processes to communi-           and effort to manually update SOPs,
volved specific tasks, who is perform-             cate. To speed up the approval of an          so employees may sit on updates,
ing what, certification and qualification          SOP, the originator needs to make             jeopardizing conformance. It is
              ¾
requirements and step-by-step proce-
                                                                      ¾
                                                   phone calls, send e-mails or remind
                                                   approvers in person and that is just
                                                                                                 equally difficult to rely on employees
                                                                                                 to always remember to document any
dures. Depending on the nature of the
                                                   one SOP. Multiply the number of               changes in an SOP, including who
process being described, the SOP may                                                             made the change, why and when.
                                                   phone, e-mail and personal reminders
include calculations for data handling.            a dozen times for an employee re-         I   Poor revision control. Companies
    SOPs are usually categorized by pro-           sponsible for a dozen SOPs. In a              that rely on a manual system often
cedure type, such as design, manufactur-           fast-paced organization, SOPs are             complain that it is difficult to get rid
ing or quality assurance. Categories help          likely to change constantly, but peo-         of obsolete documents. Even after
determine the correct format for each              ple affected by the changes may not           SOPs have been revised and ap-
SOP and also facilitate appropriate re-            be notified in a timely manner.               proved, old documents may resurface
view and approval for the document.            I   Lack of training. It is bad enough            on the shop floor. Another problem is
                                                   that employees are not notified about         that employees may use documents
Challenges
                                                   new or revised SOPs in a timely man-          that have not been approved simply
   Despite the much ballyhooed “infor-                                                           because they are able to grab that
                                                   ner, but it is worse when they do not
mation age” and “computer revolution,”             get the appropriate training on the           binder sitting on someone’s desk. In
most companies continue to rely on pa-             new SOPs. This failure to keep up             both cases, using uncontrolled SOPs
per-based processes. Typically, SOPs               with training on new SOPs is inherent         could lead to nonconformance.
are created using Microsoft Word,                  in a manual system that is not con-
printed out and stored in three-ring bind-
ers. The binders are then routed physi-
cally from one approver to the next.
After approval, the contents of the binder
are photocopied so every affected de-
partment will have one binder handy.
   For a small organization, this process
may be just fine. But for most compa-
nies, a manual system poses many chal-
lenges, including:
I Inefficiency. The process of routing,

  reviewing and approving an SOP can
  be slow and inefficient. This is partic-
  ularly true if an organization gener-
  ates hundreds or thousands of SOPs,
  and the people who need to review
  and approve them are in different lo-
  cations or out of the office. It is likely
  that SOPs may get lost while being
  routed, either buried in someone’s
  messy desk or computer inbox.
I   Poor collaboration. Creating and up-                                                                    ENG
                                                                                                               INEERING / TECH. SER
                                                                                                                                   VIC
    dating SOPs usually requires collabo-                                                                       LYTICS – REPORTING    ES
                                                                                                   G        ANA
                                                                                                TIN
    ration. For organizations that use                                                       TES               Integrated                     MA
                                                                                                                                                NU
    manual processes, collaboration                                                       AL                                                      F
                                                                                        IC                Quality Management




                                                                                   IN




                                                                                                                                                     AC
    would entail face-to-face meetings




                                                                                 CL




                                                                                                                                                       TU
    and passing around a document that




                                                                                                                                                         RI
                                                                                                                  Department-




                                                                                                                                                           NG
                                                                                                                    Specific
    employees take turns editing. This




                                                                             T
                                                                           EN
                                                                                                                  Documents
    manual process works when there are




                                                                         PM
                                                                                                  Audit                                Document




                                                                                                                                                                REG
                                                                                                                                        Control




                                                                      ELO
    few collaborators who are based in




                                                                                                                                                                   ULAT
    the same facility and whose schedules




                                                        RESEARCH & DEV
                                                                                              Non-
    are similar. But collaboration among                                                  conformances
                                                                                                                                        Change




                                                                                                                                                                       ORY AFFAIRS
                                                                                                                                        Control
    employees with varied schedules and
                                                                                          Quality Control            Risk
    responsibilities and who are based in                                                    Issues               Assessment
    different facilities is practically im-                                                                                                CAPA
    possible.                                                                                Customer
                                                                                            Complaints
I   Lack of visibility. Paper-based pro-
    cesses are not connected, making it                                                                                                 Training
                                                                                          Sarbanes-Oxley
                                                                                                                                        Control
    difficult for management to monitor                                                       (SOX)
                                                                                                                 New Employee




                                                                       SA
    the effectiveness of SOPs and make                                                                          Role/Job Change




                                                                         LE
                                                                                                                 Annual Training
    timely decisions. For example, if the

                                                                           S




                                                                                                                                                        NS
                                                                                 /M
    customer complaint process is not




                                                                                                                                                       O
                                                                                   AR




                                                                                                                                                     TI
                                                                                        KE                                                            A
    connected to either corrective and                                                    TI
                                                                                             NG                                                     ER
                                                                                                                                                  OP
    preventive action (CAPA) or change
    control, it may take a while before
    management realizes that a certain                                                                              FINANCE

    complaint should have been escalated              An effective system integrates SOP management with change control, training con-
    to CAPA and should have resulted in               trol, audits, corrective and preventive action, and customer complaint processes.
    a change in a manufacturing SOP,                  Source: MasterControl Inc.
    perhaps preventing a product recall.
                                                  may allow offsite or traveling em-                                          ally anywhere. There is no need for
Solutions                                         ployees to participate in the review                                        employees to remember to document
   A quality management suite should              and approval process through the                                            changes because the system provides
consist of easy-to-use and integrated ap-         Internet. Even suppliers, consultants                                       a time-stamped audit trail that cap-
plications for automating, streamlining           and other third parties may be given                                        tures the identity of anyone who
and effectively managing SOPs and                 limited access to the system so they                                        creates, views or changes an elec-
other documents, change control, train-           can be immediately notified upon ap-                                        tronic record, when the action oc-
ing control, audits, CAPA, customer               proval of changes to SOPs that affect                                       curred, and the changes made. Along
                                                  them. As an alternative, external links                                     with the stamp, users are asked to en-
complaints and other forms-based qual-
                                                  can be created to make selected docu-                                       ter a reason for every change.
ity and business processes under a single         ments and processes available with-
Web-based platform.
                                                                                                                          I   Automatic revision control. Em-
                                                  out giving them system access.                                              ployees will no longer use uncon-
   To address manual-based challenges,        I   Integrated training. By integrating                                         trolled SOPs because only approved
an automated system can provide a vari-           training control with SOP manage-                                           documents will be released and made
ety of solutions including:                       ment and other quality processes, all                                       available to them. Obsolete SOPs will
I Efficient system. A Web-based sys-              employees affected by new or revised                                        not resurface. With an automated sys-
  tem can automate routing, delivery              SOPs will be automatically sent train-                                      tem, when an SOP is revised, the
  and storage of SOPs, thereby increas-           ing tasks. Some systems automate as-                                        original version is automatically ar-
  ing the efficiency of SOP manage-               signment, monitoring and verification                                       chived on approval and release of the
  ment. The system provides a secure,             of training tasks. The system also                                          revision. Also, setting an expiration
  centralized repository that makes               may automate grading of online ex-                                          date will make an SOP obsolete on
  search and retrieval easy. SOPs will            ams. It allows implementation of a                                          that date and it will automatically be
  not get lost because the system can             progressive training program by se-                                         archived. Automatic revision control
  track every document’s exact loca-              quencing training courses. After a                                          will ensure that when an SOP is being
  tion.                                           prerequisite is completed, the next                                         revised, it will not be available for
I Effective communication. Auto-                  course is automatically launched.                                           check out until approval of the revi-
  matic follow-up helps improve effi-         I   Effective documentation. An auto-                                           sion.
  ciency. The system will continue to             mated system makes it easier to keep                                    I   Improved collaboration. A virtual
  send notifications until the person             SOPs accurate and current. To update                                        collaboration workspace allows indi-
  acts on an SOP. It incorporates esca-           or revise documents, there is only one                                      viduals to participate at their conve-
  lation, so if the person is unavailable         place to make a change because all                                          nience. They can review, comment
  for a period of time, the SOP will              SOPs will be stored in a centralized,                                       on, revise or approve an SOP without
  move to the next person authorized to           Web-based repository that can be ac-                                        having to be physically present with
  approve it. A Web-based platform                cessed by authorized users from virtu-                                      the rest of the team. A Web-based
I   platform allows even off-site or trav-           product quality, and therefore, com-             About the Author
    eling employees to collaborate.                  pliance. Development of effective                Cindy Fazzi is a marketing communi-
I   Increased visibility. An automated               SOPs and implementing them cor-                  cations specialist for MasterControl
    system can make the entire quality               rectly require commitment from the               Inc. (Salt Lake City). For more infor-
    system visible by integrating different          entire organization. Choosing the                mation, call (800) 825-9117, e-mail
    processes and connecting different               right software solution that will facili-        cfazzi@mastercontrol.com or visit
    departments. Management will be                  tate and improve SOP management                  www.mastercontrol.com.
    able to monitor the effectiveness of             should be a part of this commitment.
    SOPs in a single, integrated system              Once established, an efficient and ef-
    better than in separate processes. For           fective SOP management system will               This article has been reprinted with
    FDA-regulated and ISO-certified                  serve as a foundation for an organiza-           permission from Quality Magazine,
    companies, SOPs are more than just a             tion’s sustainable compliance and                copyright February 2007.
    tool of operation. SOPs directly affect          long-term success in the market.




           Tech Tips
           • SOPs, in conjunction with personnel training, help               • In FDA and ISO environments, the concept of quality
             relay knowledge from one department to another.                    is made tangible by the information and processes
           • Manufacturers with global operations also rely on                  captured in SOPs, and correct implementation of
             SOPs to standardize processes in all of their facilities.          those SOPs helps ensure quality.
           • Compliance with regulations and quality standards is a           • An SOP may come in the form of a checklist, a linear
             key factor that drives many organizations to establish             flowchart or some other type of flowchart, hierarchical
             and maintain SOPs.                                                 steps or annotated photos.




                                                                      20    th
                                                                    Anniversary
                                                                GMP Labeling®
                                                                  Compliance products
                                                                        for the
                                                                     health care
                                                                       industry




                                                                  1987
                                                                               2007




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