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Quality Risk Management: 16 FAQ’s to Chew On

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Quality Risk Management: 16 FAQ’s to Chew On

After two years of receiving input from industry regarding EU quality risk management regulations and practices, U.K.’s MHRA has just posted a list of 16 Frequently Asked Questions about QRM that industry should mull over. Among them:

Is it acceptable to link QRM with cost-saving measures? (Hmm,  a trick question if I ever saw one!)

What tools are acceptable in Quality Risk Management? (Hint: The answer is short and simple.)

Should we expect there to be no risk to patient safety as a conclusion to a risk assessment? (Is “no risk” ever in the pharma vocabulary?)

Some of the FAQ’s apply directly to EU GMPs, but most are relevant to anyone involved in drug Quality.

I’ll end this post with MHRA’s question #8: What are the key attributes of a good risk assessment?

The following key attributes should be observed (mindful of the risk significance addressed in the previous question):

  • clearly identify the process being assessed and what it is attempting to achieve, ie what the harm/risk is and what the impact could be on the patient
  • be based on systematic identification of possible risk factors
  • take full account of current scientific knowledge
  • be conducted by people with experience in the risk assessment process and the process being risk assessed
  • use factual evidence supported by expert assessment to reach conclusions
  • do not include any unjustified assumptions
  • identify all reasonably expected risks – simply and clearly along with a factual assessment and mitigation where required
  • be documented to an appropriate level and controlled/approved
  • ultimately be linked to the protection of the patient
  • should contain objective risk mitigation plans.

Kudos to Madhu Raju Sahee of the Global Pharma Dialogue blog for calling our attention to these FAQs.

–Paul Thomas

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6 Responses to “Quality Risk Management: 16 FAQ’s to Chew On”

  1. atebar says:

    In my opinion, one of the most interesting answers is the one related to the key attributes of a risk analysis. Seems obvious, but for me it’s good news that inspectors focus their attention to the content of the risk analysis exercise (rational, scientific information supporting the conclusions, etc) more than just the presentation.
    Link to post about this issue:

    http://www.qbd-dtc.com/2010/09/%c2%bfcomo-se-van-a-inspecionar-los-sistemas-de-qrm-parte-1/

    http://www.qbd-dtc.com/2010/09/%c2%bfcomo-se-van-a-inspeccionar-los-sistemas-de-qrm-parte-2/

  2. Pedro Hernandez says:

    From my experience during a Pre-Operational Visit (POV) for a QbD filling, the first document the FDA asked for was the risk assessment document. From the Agency perspective this is the document that demonstrates the depth of process knowledge and the risk mitigation and control strategies. The Process Validation describes what you did or will do, not what you know.

  3. paulthomas says:

    Alicia, Pedro,

    Thanks for your responses. It seems to me that you’re both suggesting that manufacturers need to better follow the lead of regulators in embracing QRM and risk in general. I’m reminded of Bikash Chatterjee’s thoughts on “Embracing Risk” (link below): “Ultimately, shifting our concept of quality to embrace risk will move our quality focus upstream in the development process. This enables us to ask the tough questions before their consequences cause our programs to stumble. Leveraging the pieces of our existing quality structure and complementing them with prescribed analytical tools for risk assessment will position our industry to be more effective from a business and shareholder perspective as we increase the quality of our products and reduce the risk to our customers.”

    http://www.pharmaqbd.com/embracing_risk/

  4. atebar says:

    I have just find a draft guideline from WHO which references to these FAQ´s.
    Surprisingly detailed.

    http://www.who.int/medicines/services/expertcommittees/pharmprep/QualityRiskManagement-QAS10-376_18082010.pdf

  5. paulthomas says:

    Alicia,

    Thanks for calling this to our attention. A great document to read.

    Paul

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