who guideline on quality risk management - World Health ...
who guideline on quality risk management - World Health ...
who guideline on quality risk management - World Health ...
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Working document QAS/10.376<br />
page 10<br />
• the <strong>risk</strong>-reducti<strong>on</strong> measures resulting from <strong>risk</strong>-based evaluati<strong>on</strong>s and decisi<strong>on</strong>(s)<br />
must dem<strong>on</strong>strate the required effect. The company should have adopted a suitable<br />
review programme to evaluate the outcome of the measures; and<br />
• all documentati<strong>on</strong> related to the RM activities should have been completed in a<br />
reas<strong>on</strong>able time frame and should be accessible to relevant staff and traceable at the<br />
time of inspecti<strong>on</strong>.<br />
3. QRM AND PHARMACEUTICAL MANUFACTURERS<br />
3.1 Training and educati<strong>on</strong><br />
As QRM is a relatively new c<strong>on</strong>cept in the pharmaceutical industry, training of pers<strong>on</strong>nel in<br />
industry, government and universities in QRM principles and applicati<strong>on</strong>s is essential for its<br />
effective implementati<strong>on</strong>. Industry employees must understand what QRM is, learn the skills<br />
necessary to make it functi<strong>on</strong> properly, and must also be given the materials and equipment<br />
necessary to enable the effective practice of the QRM principles and prosecuti<strong>on</strong> of productspecific<br />
plans.<br />
In developing the training programme to support a particular QRM plan, working instructi<strong>on</strong>s<br />
and procedures should be drawn up which clarify the strategy and define the tasks of all<br />
involved in the plan. Specific training should be provided as required to enhance awareness.<br />
Staff <str<strong>on</strong>g>who</str<strong>on</strong>g> have resp<strong>on</strong>sibility for managing and reviewing <strong>risk</strong>s must receive formal training<br />
in the relevant procedures.<br />
Cooperati<strong>on</strong> between producers, traders and resp<strong>on</strong>sible authorities is of vital importance.<br />
Opportunities should be provided for the joint training of industrial staff and c<strong>on</strong>trol<br />
authorities to encourage and maintain a c<strong>on</strong>tinuous dialogue and create a climate of<br />
understanding in the practical applicati<strong>on</strong> of QRM.<br />
The success of a QRM system depends <strong>on</strong> educating and training <strong>management</strong> and employees<br />
in the importance of their role in producing safe pharmaceuticals. Informati<strong>on</strong> should also be<br />
provided <strong>on</strong> the c<strong>on</strong>trol of hazards at all stages of producti<strong>on</strong> and supply.<br />
3.2 Resp<strong>on</strong>sibilities<br />
Successful implementati<strong>on</strong> of a QRM plan is dependent <strong>on</strong> a clear understanding of<br />
resp<strong>on</strong>sibilities for all staff involved in the plan as it progresses. It is recommended that a<br />
cross-functi<strong>on</strong>al matrix of assigned resp<strong>on</strong>sibilities and accountabilities is drawn up and<br />
shared with all relevant pers<strong>on</strong>nel. For a more complete picture of the communicati<strong>on</strong><br />
pathways, the drafting of a RACI (Resp<strong>on</strong>sibility/Accountability/C<strong>on</strong>sulted/Informed) grid<br />
should be c<strong>on</strong>sidered.<br />
The pharmaceutical manufacturer should assure that product-specific knowledge and<br />
expertise are available for the development of an effective QRM plan. QRM activities are<br />
usually, but not always, undertaken by a matrix of interdisciplinary teams. When teams are<br />
formed they should include experts from the appropriate areas (e.g. <strong>quality</strong> unit, business<br />
development, engineering, regulatory affairs, producti<strong>on</strong> operati<strong>on</strong>s, sales and marketing,<br />
legal, statistics and clinical) in additi<strong>on</strong> to individuals <str<strong>on</strong>g>who</str<strong>on</strong>g> are knowledgeable about the QRM<br />
process.