GMP is the part of Quality Management which ensures that the products are consistently produced and controlled to the quality standard appropriate to their intended use as required by the marketing authorization and product specification. (Reference: WHO)
In contrast, cGMP i.e. ‘c’ before the GMP is indicative of the constantly changing technologies and systems which are up-to-date in order to comply with the regulations. These the dynamic changes in Good Manufacturing Practice to make Pharmaceuticals manufacture foul proof; assuring a high level of confidence in the safety and efficacy of the product.
Quality Assurance is of Tremendous Importance in Pharma and Health care sector.
A brief of that is try to explain here..
A Trust of the Customer on Product is solely based on the Effective QA
Almost all the regulatory bodies are expected to have Risk Based Quality System. Quality Risk and its assessment has tremendous output and benefits towards the Patient Safety.
GMP is the part of Quality Management which ensures that the products are consistently produced and controlled to the quality standard appropriate to their intended use as required by the marketing authorization and product specification. (Reference: WHO)
In contrast, cGMP i.e. ‘c’ before the GMP is indicative of the constantly changing technologies and systems which are up-to-date in order to comply with the regulations. These the dynamic changes in Good Manufacturing Practice to make Pharmaceuticals manufacture foul proof; assuring a high level of confidence in the safety and efficacy of the product.
Quality Assurance is of Tremendous Importance in Pharma and Health care sector.
A brief of that is try to explain here..
A Trust of the Customer on Product is solely based on the Effective QA
Almost all the regulatory bodies are expected to have Risk Based Quality System. Quality Risk and its assessment has tremendous output and benefits towards the Patient Safety.
According to new syllabus of PCI M.Pharm 1st sem. students can directly utilize this ppt for their study. As per PCI new syllabus QA STUDENTS find this ppt very use full.
Process Validation is Key important factor for the Pharmaceutical Industry to maintain Consistent Quality in product which claimed by the manufacturer.
Validation: Validation is a documented program that provides high degree of assurance that a specific process, method or system consistently produces a result meeting pre-determined acceptance criteria.
Pharmaceutical Quality Management System describes the framework of planning, organizing, controlling and monitoring of activities throughout product life cycle. This presentation briefly describes the fabric of QMS which provides the foundation of quality products.
Good Manufacturing Practice (GMP) is a system for ensuring that products are consistently produced and controlled according to quality standards. It is designed to minimize the risks involved in any pharmaceutical production that cannot be eliminated through testing the final product.
Master batch record,batch production record ,Quality Audit Type and plan &Rec...KarishmaFuse
Standard Operating procedure(SOP), Preparation review ,Approval Issuance of master batch Record MBR and Batch Production Record (BPR) and Quality Audit Type, plan and Objectives.
According to new syllabus of PCI M.Pharm 1st sem. students can directly utilize this ppt for their study. As per PCI new syllabus QA STUDENTS find this ppt very use full.
Process Validation is Key important factor for the Pharmaceutical Industry to maintain Consistent Quality in product which claimed by the manufacturer.
Validation: Validation is a documented program that provides high degree of assurance that a specific process, method or system consistently produces a result meeting pre-determined acceptance criteria.
Pharmaceutical Quality Management System describes the framework of planning, organizing, controlling and monitoring of activities throughout product life cycle. This presentation briefly describes the fabric of QMS which provides the foundation of quality products.
Good Manufacturing Practice (GMP) is a system for ensuring that products are consistently produced and controlled according to quality standards. It is designed to minimize the risks involved in any pharmaceutical production that cannot be eliminated through testing the final product.
Master batch record,batch production record ,Quality Audit Type and plan &Rec...KarishmaFuse
Standard Operating procedure(SOP), Preparation review ,Approval Issuance of master batch Record MBR and Batch Production Record (BPR) and Quality Audit Type, plan and Objectives.
quality assurance, quality control, total quality management UNIT 1, b pharma 6th sem
Quality management in the drug industry
Why quality is important in pharmaceuticals?
Impacts of ignorance on quality
Quality control
Role of quality control in pharmaceutical industry
Objectives of quality control
Components of quality control
Functions of qc in pharmaceutical industry
Quality assurance
Total quality management
Characteristics of tqm
Benefits of tqm:
Objectives and policies of c gmp, layout of building and servicesSharwari Sapate
Pharmaceutical Quality affects every individual. Therefore GMP is required to ensure the quality of the particular drug or dosage form. In this presentation you will go through some basic information about cGMP and layout of buildings.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
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Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
1. AN OVERVIEW OF QUALITYASSURANCE DEPARTMENT IN PHARMACEUTICAL
INDUSTRY
Quality is a universal concept and concern for every item or article of use –be it a house-hold item,
home appliance, personal care products, machinery purchased from the market, cars for personal or
commercial use, foods and food products – or medicines for animal and human consumption. No one
wants to compromise quality on any item they use. Quality assurance therefore is the process or the end
of the process of vouching for the integrity of a product to meet the standard for the intended use. Quality
assurance is an obligation automatically imposed on the manufacturer of any product to ensure that it
meets the needs of the end-user in the measures intended for use – quality, safety, efficacy,reliability,
strength and or durability etc. For the end-user,the benchmark of quality is perfection – they cannot allow
less than 100%.
The Pharma Industry.
To consummate the objective of quality healthcare delivery, the place and contribution of good, safe,
efficacious and affordable medicines cannot be over-emphasized. The surge of fake,sub-standard and
adulterated medicines is a global menace. The WHO’s quality medicines policy is geared towards the
production and supply of medicines of the highest quality, safety and efficacy at an affordable price.
Increased regulation ofthe pharma industry manifested sharply after the thalidomide disaster of
1957, to make for stringent, systematic,scientific and sustainable approach to commercial drug
production that guarantees protection ofpublic health.
Prior to this, it was the days of the Apothecaries’ extemporaneous preparation of drugs in hospital
pharmacies and commercial chemist shops with limited facilities and manpower, in which decoctions,
medicated potions, ointments and emulsions were delivered. World population explosion, industrial and
technological revolution, and outrageous economic foraging unzipped the art of drug production, meaning
that random involvement of all-comer manufacturers must be regulated with stringent systematic,
scientific and sustainable practice controls that must culminate in good drug product quality.
The system of specifications and practice control measures in the industry, also known as standard
operating procedures (S.O.P.s) –designed by the scientific community and regulatory authorities, and
localized by each industrial outfit into their own templates – ensures a good manufacturing practice
(GMP) when put to use. The strict enforcement of these codes of GMP guiding the manufacture of
medicines, plus the laboratory follow-up of the manufacturing processes from start to finish, is termed
QUALITY CONTROL. So, in broad terms, the elimination oferror to the barest minimum through
management control practices leads to a QUALITYASSURANCE or certification ofthe product as
good, safe, and fit for the intended use.
Quality control adopts all GMP measures as per SOPs to ensure the output of uniform batches of drugs
that conform to established specifications of identity, strength, purity and other relevant parameters. It
involves the sampling and testing of starting materials, intermediate, bulk and finished products, plus
packaging materials, - to ensure compliance with appropriate specifications and standards.
2. Quality assurance is the sum total of these processes or,put simply, an assurance that the drug product has
been manufactured following GMP, and that it contains necessary ingredients in correct proportions, and
is of the right purity, packaged in the right containers and labeled appropriately. Quality control plus
GMP equals Quality assurance. [QC + GMP = QA].
FPPs and APIs
A pharmaceutical industry could be engaged in the manufacture of finished pharmaceutical products
(FPPs) or active pharmaceutical ingredients (APIs) or both. In whichever case,quality assurance is key.
The Quality Assurance Department
In the average manufacturing facility, the key units or departments that are of high regulatory concern are
PRODUCTION,QUALITYCONTROL/QUALITYASSURANCE,WARE HOUSE and
ENGINEERING/UTILITIES.
The mandate ofthe QA department is to maintain an oversight function over Production,
Analytical laboratory, Warehouse, Utilities/Water supply and the environment (hygiene) to assure
that good manufacturing practices, good laboratory practices and good storage practices are in
place.
Why a QA Department?
In addition to the need to obviate incidents similar to the thalidomide crisis,the need to protect
public health from the works ofunprofessional and unscrupulous elements gave rise to enunciation
of control measures and quality assurance mechanisms.
On a regular basis, the regulators are tightening the tenor of regulation to overcome the wave of
compromise in the industry which is on the upward trend due to untamed profiteering and economic
aggrandizement. So, it is all about the protection of public health.
Structure and personnel in the QA department.
The QA department must be able to function as an unbiased umpire in the facility in order to be able to
effectively account for quality deficits and cause the utmost input from all concerned units in the process
of building quality into the products. So how can this be possible? – by getting the department remain
independent ofproduction and management, free from their over-bearing influences.
According to international best practices,and depending on the size and management structure of an
organization, the QA department is headed by a qualified and experienced responsible person in relevant
field(s) of study. Such a person must have sufficient knowledge, training and experience in
pharmaceutical sciences, chemistry and or biochemical science. It is important to emphasize years of
experience. Working under and reporting to the QA head are chemical and microbiological analysts who
carry out in-process and out-of-process analyses of system water, rawmaterials, intermediates,bulk
and finished products, plus packaging materials – to ascertain compliance.
Reporting line and collaboration
3. Although the QA is independent, reporting to the CEO or as the case may be, it is not mutually exclusive
from other departments especially production, with which there must be a horizontal relationship.
Production plans and executes the manufacture of the products by strict adherence to GMP, while QA
carries out oversight duties to cross-check the claims of production concerning the process and the
product. It also carries out measures to assure the integrity of production starting materials.
Quality Control and Quality Assurance Units
Generally speaking, the running of the analytical laboratory and various process controls falls under a
Quality Control Manager or Head who may additionally be saddled with the management of quality
assurance. In some organizations, the two roles are separated under two heads. This depends on the
management structure and financial capacity of the company.
Quality Concepts.
i. QMS – Quality management system – the overall picture of how an organization carries on
its business by standard operating procedures.
ii. TQM – Totalquality management – the commitment of packaging the company’s service
system and products in the best quality possible.
iii. QbD – quality by design - the concept of creating quality in the product from design and
development through production to packaging. This speaks to the role of formulation and
production in building quality into the product from the beginning.
Some tools ofQuality Assurance Department in a Quality Management System
What is the thrust of the QA in the company? It is to maintain a continuous surveillance in the system
. This is carried out through
˳ investigations – of deviations, out-of-specifications and out-of-trends results.
˳ root cause analysis – tracing out-of specs to their roots.
˳ change management – nurturing change in the system
˳ quality risk management – a risk-based approach to quality assurance.
˳ quality reviews/annual product reviews.
˳ post-marketing surveillance of the products
˳ recalls management.
˳ training of staff
4. ˳ environmental management and hygiene.
˳ continuous improvement.
Can we give a passmark to the global efforts at sanitizing the drug market?
Bibliography
1. A.O. Olaniyi et al - Pharmaceutical Analysis and Drug Quality Assurance
2. Leon Latchman et al – The Theory and Practice of Industrial Pharmacy.
3. Remington’s Pharamceutical Sciences.
4. WHO Guidelines fordrug products manufacture
5. NAFDAC Guidelinesfor the registration of Drugs 2009
6. Miller MT, 1991 – Thalidomide embryopathy – A Model for the study of Congenital Incomitant
Horizontal Strabismus.Transaction of the American Ophthalomological Society 81 623-624.
7. Etc.
Gabriel Akwaja. B.Pharm,MPSN.
Head,Regulation & Research.
PHAMATEXINDUSTRIES LTD,Lagos.
NIGERIA.
+234 7034740300.