This document discusses different types of quality audits, including internal audits conducted by a company to ensure quality standards are met, external audits conducted by outside parties to ensure standards are met for suppliers or customers, and different focused audits like process, product, and system audits. It also outlines the audit process and how to prepare for an audit by having the proper documentation in place like protocols, consent forms, safety reports, agreements, personnel records, case report forms, and source data.
2. Quality Audit
Quality Audit is defined as a systematic and
independent examination to determine whether
quality activities and related results comply with
planned arrangements, and whether these
arrangements are implemented effectively and are
suitable to achieve objectives
3. Types Of Quality Audit
• The quality audit system mainly classified in
following different categories:-
1. Internal Audit
2. External Audit
3. Second Party Audits
4. Third Party Audits
5. Process Audits
6. Product Audits
7. System Audits
Main type
4. Internal Audit
• Ensure that an organization is meeting its own
quality standards or contractually required
standards.( called a first party audit).
Done by auditors who work for the company.
They may also be hired by the company to audit its
own functions.
Auditors must be independent of the function they
are auditing.
(this type audit by company employees,
consultants and contactors)
5. Purpose of Internal audit
1. To Ensure that adequate Quality systems are
maintained.
2. To asses compliance with the C-GMP’s and
firms standard operating procedure.
3. To achieve consistency between
manufacturing and testing facilities.
4. To identify problems internally and Correct
problems prior to a FDA inspection.
6. External Audits
- External auditors are separate from the company.
- They may be hired by a supplier or customer to
ensure that the audited company meets their
quality standards.
- They may be audited by the government to verify
that they meet military specifications.
- External audits can be done by quality consultants
specializing in the quality standards for those
organizations.
7. Purpose of External Audit
• - Confidence in the partnership arrangement.
- Ensuring that requirements are understood.
- Reducing the risk of failure.
- Carried out by company on its vendors.
- No legal requirement to conduct the audit.
• -- External audit have experience of GMP as
well as regularly audited by their certification
body
8. • Second Party Audits-
External audits done by a
company that has a contract with the audited firm is
called a second party audit.
• Third Party Audits-
External quality audits done by an
organization that has no contract with the company it is
auditing is called a third party audit.//
• Process Audits-
A process audit verifies that a
documented process meets quality standards. This
process could be a manufacturing process or service
process.
9. • Product Audits-
A product quality audit verifies that a
physical product meets design specifications and other
quality measurements.
- measuring physical dimensions, product testing, or
destructive testing, checking the calibration and test
equipment used to verify that the product meets
quality standards..
• System Audits-
It is a review of how quality standards are
measured and met by the company. It verifies the
procedures used to measure the quality of the product,
how defects are recorded, and how the company
ensures that failed product is not passed.
10. GMP Compliance Audits
• GMP Compliance Audit is an audit or an inspection
conducted by someone external to your
organization with the purpose of discovering GMP
deficiencies..
- A GMP Compliance Audit will allow you to avoid delays in bringing
product to market due to not passing a GMP audit.
11. • GMP compliance audit will allow you to:
- Gain greater knowledge of the quality issues
affecting your organization.
-Develop increased awareness of regulatory
expectations.
• Recognize commonly seen GMP deficiencies and learn
how to reduce them in your organization.
• Understand the inspection process and how you can
prepare for it.
• Identify quality-critical areas in your own organization
e.g. technical agreements, training, record keeping,
delegation.
• Receive guidance on changing legislation and increasing
complexity in the manufacturing and distribution chain
for medicinal products.
15. Auditing Strategies
• Audits related to the organizational strategy can be
divided into two distinct categories; strategic risk
audits and strategy process audits.
- Strategic risk audits focus on risks that are the
result of pursuing certain strategically important
organizational goals.
- A strategy process audit is an assessment of the
strategic management process or even of (the
content of) the formulated strategy.
19. Preparation of Audit
• Should start from the beginning of the study.
• Ensure that we have the documents to prove that
study has been conducted properly.
• According to ICH-GCP, Local regulation, Institution
SOP.
• All party understand the protocol, procedure Any
concern raised by any party should be documented.
• Aware of the chronology of the event, version of
documents.
20. Essential Documents
• Study protocol, patient information sheet, informed
consent, questionnaire, investigator brochure etc.
Version, date submitted, approved, implemented .
• Safety report : AE, SAE, SUSAR
Submitted to EC, FDA .
• Agreements : clinical, financial .
• Study personnel : CV, authorised letter, sample of
signature .
• Enrollment log.
• Correspondence
21. .
• Case record form : CRF
- Signed & dated informed consent
- Completeness of CRF
- Investigator signed & dated in the assigned pages -
- Accuracy of data compared with source data
- Black ball point pen
- Logical date according to protocol !
- Source data has to be available
22. .
• Source data :-
- Patient note (OPD card) : should document the
information required by the protocol (monitor can
prepare the check list page & attach to the OPD
card)
- Other documents : lab test, ECG, X-rays, CT scan ---
- Translator is required in case local language is not
English (FDA inspection might ask for an
independent translator)
23. .
• Standardisation, maintenance of equipment
Document to prove that all procedure is followed.
• Logistics, accountability of the test kits, study
medication-
Temperature controlled required.
• Study personnel who operate the machine-
Well trained; training record, CV .
• Sample handling procedure -
Tissue block, blood, serum, etc