How to Spot a Good Document Control SystemEtQ, Inc.
Document Control is probably one of the most sought after applications when people are looking for a Quality Management or Environmental Health and Safety system.
In just 5 minutes, we'll uncover some of the common features to look for when selecting a good Document Control System.
Document Control
Steps to Building an Effective System
Annual Quality Survey Report
1. Building an Effective System
2. Have the Right Amount of Documentation
3. Outline Your Document Control System
4. Where will you keep your documents?
5. Example Systems
6. Common Problems with Document Control
7. And all the pieces will fall in place
Good Document Control Practices and Procedures: ISO 9001:2015Qualsys Ltd
Read More: quality.eqms.co.uk/eqms-governance-risk-compliance-software-datasheets
Once upon a time, records lived in lever arch-files, filing cabinets and in cardboard boxes. All key documents and records were strictly guarded under lock-and-key by those who knew the rules, and applied them assiduously.
Nowadays, records exist all over the business, well beyond the reach of the traditional warden. With everything digital, records are stored on desktops or mobile devices, on clouds or on servers, on intranets or on social media.
But what impact has this decentralisation of records had on organisations?
In this fast paced, mobile world, documentation is created at break-neck pace.
Not only has the internet, remote working and globalisation completely changed the way documents are created, it has transformed how records are exchanged, viewed, interrogated and collaborated upon.
Despite the issues with lost company records, only a third of organisations feel their document control procedures are integrated enterprise-wide, according to an AIIM Industry Report.
Two in three organisations feel they have failed to integrate document control procedures across the organisation, or have little or no document control policy at all.
Not only do these companies risk litigation costs, loosing customer confidence, bad publicity and loosing confidential customer information, they are failing to exploit important knowledge resources.
EQMS Document Manager helps you to keep control of records. EQMS enables you to:
control access and usage of documented information, as well as the distribution and retrieval of documents.
Follow a systematic approach: e.g. follow the Plan > Do > Check > Act cycle.
Retain records: have documents to prove that you have done what you said you would do.
This supports organisations to meet the requirements of ISO 9001:2015 and other management standards.
How to Spot a Good Document Control SystemEtQ, Inc.
Document Control is probably one of the most sought after applications when people are looking for a Quality Management or Environmental Health and Safety system.
In just 5 minutes, we'll uncover some of the common features to look for when selecting a good Document Control System.
Document Control
Steps to Building an Effective System
Annual Quality Survey Report
1. Building an Effective System
2. Have the Right Amount of Documentation
3. Outline Your Document Control System
4. Where will you keep your documents?
5. Example Systems
6. Common Problems with Document Control
7. And all the pieces will fall in place
Good Document Control Practices and Procedures: ISO 9001:2015Qualsys Ltd
Read More: quality.eqms.co.uk/eqms-governance-risk-compliance-software-datasheets
Once upon a time, records lived in lever arch-files, filing cabinets and in cardboard boxes. All key documents and records were strictly guarded under lock-and-key by those who knew the rules, and applied them assiduously.
Nowadays, records exist all over the business, well beyond the reach of the traditional warden. With everything digital, records are stored on desktops or mobile devices, on clouds or on servers, on intranets or on social media.
But what impact has this decentralisation of records had on organisations?
In this fast paced, mobile world, documentation is created at break-neck pace.
Not only has the internet, remote working and globalisation completely changed the way documents are created, it has transformed how records are exchanged, viewed, interrogated and collaborated upon.
Despite the issues with lost company records, only a third of organisations feel their document control procedures are integrated enterprise-wide, according to an AIIM Industry Report.
Two in three organisations feel they have failed to integrate document control procedures across the organisation, or have little or no document control policy at all.
Not only do these companies risk litigation costs, loosing customer confidence, bad publicity and loosing confidential customer information, they are failing to exploit important knowledge resources.
EQMS Document Manager helps you to keep control of records. EQMS enables you to:
control access and usage of documented information, as well as the distribution and retrieval of documents.
Follow a systematic approach: e.g. follow the Plan > Do > Check > Act cycle.
Retain records: have documents to prove that you have done what you said you would do.
This supports organisations to meet the requirements of ISO 9001:2015 and other management standards.
Referenced: www.p6academy.com
Source: http://coll15.mapyourshow.com
How can you minimize the amount of paper documentation managed on projects? Thankfully, software such as Primavera Contract Management and Unifier by Oracle with integration to AutoVue can help. Share CH2M HILL’s journey to delivering paperless document control. The Engineering and Construction (E&C) industry is drowning under its own weight in paper, yet conversely driving forward with the adoption of Building Information Modelling. Each project uses hundreds, thousands, tens of thousands or more documents throughout its lifecycle (i.e. Bidding, Construction Execution > Hand-over). There are few other industries generating so many documents that need to be shared, reviewed, edited and approved by numerous stake-holders. These processes are full of inefficiency and often disconnected from the very systems that are supposed to control and record change.
Why a Document Control System Makes Good Business SenseIBS America
In the newest webinar presented by IBS America, see how you can improve business efficiency by deploying an efficient Document Control System.
In these slides, we covered how to:
-Mitigate risks
-Reduce operational costs
-Improve customer satisfaction
-Improve audits
Presentation describes the importance of IT validation from the perspectives of the FDA and our company. It explains GAMP 5, the Validation Life Cycle, good documentation practices, document naming conventions, Change Control, Problem Management, Periodic Evaluation, FDA 483 Warning Letters and 21 CFR Part 11 and a unique Validation Life Cycle.
J P Sathiadas, G N Wikramanayake (2003) "Document Management Techniques and Technologies" In:5th International Information Technology Conference, pp. 40-48. Infotel Lanka Society Ltd., Colombo, Sri Lanka: IITC Dec 1-7, ISBN: 955-8974-00-5
Building a Compliance System for your BusinessSarah Sajedi
All businesses need to manage compliance tasks - audits, inspections, permits, etc. - here's how to build a compliance management system for your business.
Next Step for Virtualization: Pre-production Testingstacksafe
IT organizations struggle to perform efficient change and release management. ITIL best practice guidelines clearly identify pre-production testing as a very important step to improve change and release management efficiency. Effective pre-production testing includes building realistic staging environments for IT testing, testing all changes that are targeted for production, and testing the impact of a change across the entire software infrastructure stack from end-to-end. This is sound advice in theory, but IT professionals face a ‘Perfect Storm’ of challenges:
• Production system availability expectations are extremely high
• IT supports very complex production environments with multiple inter-dependencies
• the volume, diversity, and acceleration of changes requested of production systems is overwhelming
IT organizations that adopt a structured change and release management approach also enjoy a smoother, more mature, change process. ‘Second generation’ virtualization serves as an enabling technology upon which to create a structured approach to improve change and release management maturity. It introduces both benefits and challenges of its own. While virtualization is not a complete answer for change and release management, it offers promise that IT organizations should consider.
Takeaways:
• IT Operations faces a 'perfect storm' of extreme availability demands, highly interdependent systems, voluminous and accelerated change, and confusing system complexity
• Structured change management processes according to ITIL best practices includes setting up a staging environment for IT testing, testing all changes, and testing changes from end-to-end across the infrastructure.
• For companies that have adopted structured Change Management processes, Change drives 25-30% of incidents in production. For companies with less structured processes, Change drives 75-80% of incidents in production
• Virtualization can improve efficiency of pre-production preparation and the adequacy of the testing of changes, but it comes with its own costs and challenges.
In this fast-paced data-driven world, the fallout from a single data quality issue can cost thousands of dollars in a matter of hours. To catch these issues quickly, system monitoring for data quality requires a different set of strategies from other continuous regression efforts. Like a race car pit crew, you need detection mechanisms that not only don’t interfere with what you are monitoring but also allow for strategic analysis off-track. You need to use every second your subject is at rest to repair and clean up problems that could affect performance. As the systems in race cars vary, the tools and resources available to the data quality professional vary from one organization to the next. You need to be able to leverage the tools at hand to implement your solutions. Shauna Ayers and Catherine Cruz Agosto show you how to develop testing strategies to detect issues with data integration timing, operational dependencies, reference data management, and data integrity—even in production systems. See how you can leverage this testing to provide proactive notification alerts and feed business intelligence dashboards to communicate the health of your organization’s data systems to both operation support and non-technical personnel.
Referenced: www.p6academy.com
Source: http://coll15.mapyourshow.com
How can you minimize the amount of paper documentation managed on projects? Thankfully, software such as Primavera Contract Management and Unifier by Oracle with integration to AutoVue can help. Share CH2M HILL’s journey to delivering paperless document control. The Engineering and Construction (E&C) industry is drowning under its own weight in paper, yet conversely driving forward with the adoption of Building Information Modelling. Each project uses hundreds, thousands, tens of thousands or more documents throughout its lifecycle (i.e. Bidding, Construction Execution > Hand-over). There are few other industries generating so many documents that need to be shared, reviewed, edited and approved by numerous stake-holders. These processes are full of inefficiency and often disconnected from the very systems that are supposed to control and record change.
Why a Document Control System Makes Good Business SenseIBS America
In the newest webinar presented by IBS America, see how you can improve business efficiency by deploying an efficient Document Control System.
In these slides, we covered how to:
-Mitigate risks
-Reduce operational costs
-Improve customer satisfaction
-Improve audits
Presentation describes the importance of IT validation from the perspectives of the FDA and our company. It explains GAMP 5, the Validation Life Cycle, good documentation practices, document naming conventions, Change Control, Problem Management, Periodic Evaluation, FDA 483 Warning Letters and 21 CFR Part 11 and a unique Validation Life Cycle.
J P Sathiadas, G N Wikramanayake (2003) "Document Management Techniques and Technologies" In:5th International Information Technology Conference, pp. 40-48. Infotel Lanka Society Ltd., Colombo, Sri Lanka: IITC Dec 1-7, ISBN: 955-8974-00-5
Building a Compliance System for your BusinessSarah Sajedi
All businesses need to manage compliance tasks - audits, inspections, permits, etc. - here's how to build a compliance management system for your business.
Next Step for Virtualization: Pre-production Testingstacksafe
IT organizations struggle to perform efficient change and release management. ITIL best practice guidelines clearly identify pre-production testing as a very important step to improve change and release management efficiency. Effective pre-production testing includes building realistic staging environments for IT testing, testing all changes that are targeted for production, and testing the impact of a change across the entire software infrastructure stack from end-to-end. This is sound advice in theory, but IT professionals face a ‘Perfect Storm’ of challenges:
• Production system availability expectations are extremely high
• IT supports very complex production environments with multiple inter-dependencies
• the volume, diversity, and acceleration of changes requested of production systems is overwhelming
IT organizations that adopt a structured change and release management approach also enjoy a smoother, more mature, change process. ‘Second generation’ virtualization serves as an enabling technology upon which to create a structured approach to improve change and release management maturity. It introduces both benefits and challenges of its own. While virtualization is not a complete answer for change and release management, it offers promise that IT organizations should consider.
Takeaways:
• IT Operations faces a 'perfect storm' of extreme availability demands, highly interdependent systems, voluminous and accelerated change, and confusing system complexity
• Structured change management processes according to ITIL best practices includes setting up a staging environment for IT testing, testing all changes, and testing changes from end-to-end across the infrastructure.
• For companies that have adopted structured Change Management processes, Change drives 25-30% of incidents in production. For companies with less structured processes, Change drives 75-80% of incidents in production
• Virtualization can improve efficiency of pre-production preparation and the adequacy of the testing of changes, but it comes with its own costs and challenges.
In this fast-paced data-driven world, the fallout from a single data quality issue can cost thousands of dollars in a matter of hours. To catch these issues quickly, system monitoring for data quality requires a different set of strategies from other continuous regression efforts. Like a race car pit crew, you need detection mechanisms that not only don’t interfere with what you are monitoring but also allow for strategic analysis off-track. You need to use every second your subject is at rest to repair and clean up problems that could affect performance. As the systems in race cars vary, the tools and resources available to the data quality professional vary from one organization to the next. You need to be able to leverage the tools at hand to implement your solutions. Shauna Ayers and Catherine Cruz Agosto show you how to develop testing strategies to detect issues with data integration timing, operational dependencies, reference data management, and data integrity—even in production systems. See how you can leverage this testing to provide proactive notification alerts and feed business intelligence dashboards to communicate the health of your organization’s data systems to both operation support and non-technical personnel.
Best Practices for Rating and Policy Administration System ReplacementEdgewater
Edgewater Technology, AQS and ISO joined forces to share best practices for replacing policy administration and rating systems for P&C insurance companies.
Testing in the New World of Off-the-Shelf SoftwareJosiah Renaudin
Testing an off-the-shelf, sometimes called COTS, system? Often, project managers and stakeholders mistakenly believe that one benefit of purchasing software is that there is little, if any, testing required. This could not be further from the truth. Testing COTS software requires a different focus from traditional testing approaches. Although no software package will be delivered free of bugs, the testing focus from the purchasing organization’s perspective is not on validating the base functionality. Gerie Owen and Peter Varhol share a framework for testing COTS packages and discuss in detail each of the major focus areas―customizations and configurations, integration, data, and performance. Discover how to work with business processes and integration maps to design an effective test strategy. Whether you are testing a small COTS package or a large enterprise COTS application, join Gerie and Peter to learn how to focus your testing effectively and develop a new test skill set.
The aim is to be a one stop service provider for consulting and support services related to compliance, validation, Computerized System Validation, IT Infrastructure Qualification and IT Solutions catering to clients in the life sciences industry. The main objective is to provide services that enhance current operations and bring the knowledge and experience needed to maintain, manage and control related services.
The philosophy of IVY Works is to be transparent, open and work with our Clients as part of their teams to achieve set objectives and goals.
Experience: Extensive experience among the founders in regulatory compliance, validation, CSV and IT Solutions. All consultants have relevant experiences in the life sciences industries with exposure to the whole gamut of operations (manufacturing, labs, IT, regulatory).
Exposure: Founders and Consultants have worked with a majority of the top ten Pharmaceutical companies in lead roles to manage and also better develop, implement and validate compliance processes. Have worked with clients in North America, Europe & Asia.
Performance: Proven track record of delivering ahead of budget and timelines for a variety of projects/ programs
Delivery: Ability to take on projects of any size – with the same emphasis on project delivery and management
Data architecture principles to accelerate your data strategyCloverDX
What are the data architecture principles you should be applying to your project design to ensure a successful outcome?
In this session (see link to full webinar at the bottom) we're walking through some of the basic elements of data architecture and some of the common patterns we’ve seen in projects. And we’ll show you how you can make your projects easier to maintain and improve as your data needs evolve.
Some of the key principles include:
Data validation at the point of data entry – how to ensure your projects aren’t derailed by bad data
Consistency – how and why you should be documenting your architecture and development practices
Avoiding duplication – how you should be thinking about reusing code to improve project maintainability
Watch the full webinar at https://www.cloverdx.com/webinars/data-architecture-principles-to-accelerate-data-strategy
Form I-9/E-Verify and Compliance & Managed Services for HCM Cloud
Presented by the Department of Homeland Security, ERP Risk Advisors, and Smart ERP Solutions
Part 2: Compliance With Managed Services for Human Capital Management (HCM)
In this webinar, discover how Compliance and Managed Services for Human Capital Management (HCM) Cloud can optimize and streamline your HR processes, saving time and resources and staying compliant. ERP Risk Advisors and SmartERP will showcase the benefits of utilizing managed services, focusing on automation, security, scalability, and compliance. Learn how managed services can enhance your HCM Cloud experience and allow HR professionals to focus on strategic initiatives while ensuring data privacy and regulatory compliance. There will be an open Q&A.
Some of the topics that will be presented:
What do we mean by Compliance through Managed Services?
Flexible Models for Managed Services as an extension of your Internal Team
Ensuring Oracle License Compliance and Reducing risk through Role Management
Demonstrate significant risks with the use of Seeded and Hybrid roles
Automated processes and their impact on HR efficiency
Compliance assurance and risk management through enabling and evaluating audit logs
This webinar will focus on content for HCM professionals that are utilizing HCM Cloud or are currently investigating moving to HCM Cloud.
Note: Both webinars are tailored to HR professionals, compliance officers, and managers. The aim is to offer valuable insights and practical tips for handling DHS Form I-9 compliance and leveraging Managed Services to optimize HCM Cloud operations and compliance.
This is a high level presentation on how to develop a monitoring improvement program. The topic of what to monitor is covered in a separate presentation.
Similar to Document Control in FDA Regulated Environments - When and how to automate (20)
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Deb Groskreutz, MA
Biology
Bioinformatics
Clinical Trials
Databases
R&D Biotech/Pharma
Oracle DBA Certified
Oracle Developer
Web Development
• Principal Engineer and Consultant, DEBYRA, LLC
• Molecular Biology, Bioinformatics, Genome Databases
• 20+ years working in Software Development
• 10+ years in FDA regulated environments
21 CFR Part 11
SDLC and Quality Systems
Software Implementation
Software Validation
Custom Systems
Cloud
Internal
3. Melita Ball
Regulatory & Quality Training
Remediation
Warning Letter mitigation
Quality System Development
21 CFR Part 11
Software Validation
Supplier Qualification &
Management
Auditing
Document Control
Production & Process
Control
CAPA
Complaint Handling
Management Controls
Project Management
• Principal Consultant, MBC & Affiliates, LLC (MBCA)
• 25+ years working in FDA regulated environments
• Global Consulting Firm specializing in regulatory compliance and
quality system
4. Agenda
Overview of Predicate Rules
Why E-Systems make life easier
Why E-Systems are complex
Considerations for an electronic environment
Checklist for success
9 major implementation mistakes and how to avoid them
6. Predicate Rules:
Summarized
Documents
1. Approvals with date and signature
2. Documents must be available at the point of use
3. Obsolete documents must be prevented from unintended
use
4. Changes must be reviewed approved with date & signature
5. Approved changes must be communicated to the people
who need them in a timely manner
6. Must maintain change history of each document that
includes a description of the change, a list of affected
document, signature/date of approval, & when change
becomes effective.
7. Predicate Rules:
Summarized
Records
1. Maintained at the location of use or reasonable
accessible during an inspection.
2. All records must be made readily available for review
and copying by the FDA
3. Must be stored to minimize deterioration and prevent
loss
4. Must be legible
5. Must be retained for appropriate period of time
according to individual regulations.
8. 8 Rules of Recordkeeping
1. Always use ink to create a permanent record.
2. Provide all requested information. Never leave
unexplained blank spaces.
3. Always correct mistakes by drawing a single line
through your error insert the correct information, initial
and date the correction.
4. Never use whiteout or anything else to hide the original
entry. You must be able to read the original entry.
9. 8 Rules of Recordkeeping
5. Always sign and date any Quality System Record.
6. Always write neatly and legibly.
7. When recording data, always copy information directly
to the data sheet or notebook. Never record data on
scrap paper or post-it-notes.
8. Always record ALL data. Never be selective. You must
be able to explain & justify any data not recorded
10. Why E-Systems make life easier
o Reduce human error
o Better decisions based on real data (not opinion)
o Better process visibility – know where
documents are and how long they’ve been there
o Automated escalations to help timeliness
o Reduce amount of paper
o Increased efficiency
11. Why E-Systems are complex
o Requires high level of knowledge of predicate rules
as they translate into E-Systems
o Need to know how to assess and evaluate E-Systems
to ensure they are designed for compliance before you
buy
o Need to know how to configure E-Systems to support
your processes without compromising the system
design
o Implementation can take some time especially if you
are interfacing with other systems like ERP or CRM
14. Project Considerations - The Team
o Quality / Regulatory
o Management Representative
o Senior Management
o Heads of all Stakeholder Areas
o Validation and Testing Group
o Support
o IT
o External Help
15. Project Considerations - Requirements
o Areas Required
o What do you need?
o Records & Electronic Signatures?
o All at once or start with one area?
o Whatever area(s) you choose, make all
considerations for it.
16. Project Considerations –Workflow
o Does the system match your process out of the
box?
o How much custom configuration do you need (if
any)?
o How much Workflow Control does it have?
o Does the vendor have Best Practices?
o Is external implementation guidance required?
17. Project Considerations –Workflow
o Is there an Example out-of-the box implementation
you can use?
o Or start with as a template for building new workflows
o Always considering…
o Validation
o Compliance
o Compliant Reporting
o Ease of use and Training
18. System Access, Security, & Data Integrity
o Cloud
o Sign On & Security
o What controls are in place?
o Data Transfer
o Integration
o Printing
19. System Access, Security, & Data Integrity
o On-Site
o Sign On & Security
o What controls are in place
o OS / Database to maximize internal
resources
o Transaction Controlled?
o Personnel and equipment
Readers, Printers, Devices, Laptops,
Mobile Phones, Tablets
20. E-Record Controls - Reporting
o What is available out of the box?
Compliant Audit Trails
Archiving
Required Fields
Permanent Unchangeable Records
o Are records printable in a readable format?
Are signatures printed with the record?
o Integration considerations
o Can you e-sign records in the system?
21. E-Signature Controls
o E-Signatures are NOT
o Sign-on or procedures for accessing the system
o Audit Trails
o Must have 2-Part Authentication for 1st Signing
o At least 1-Part Authentication for subsequent
signings
o Indelibly linked to record – signature cannot
be separated from record without collaboration
of two or more people
22. E-Signature Controls
o E-Sigs must contain all of the following
information:
1) The printed name of the signer
2) The date and time when the signature was
executed
3) The meaning (such as review, approval,
responsibility, or authorship) associated with
the signature
o All information must display with the record
both in the system and when printed.
23. Business Process Considerations
o Current Systems?
o Replace or Include
o Tools to bring Existing Data into New System?
o Cloud or Internal or Combo
o Reports
o Secure dumps
o Web Services
24. Additional Functionality
o Internal Company Integration
o Database Links
o Pull in values from Other (ERP, Customer,
Custom)
o Automated loads from files placed onto a server
o Integration Testing and Validation
o Partial release of functional areas
25. Software Validation
o Vendor Audit for Compliant Processes
o Validation Package / Support Available
o IQ/OQ/PQ Guidance or packages
o How are new releases, or configuration
changes brought into Production from TEST?
26. Training
o Cloud
o Access to a Sand Box /Test System?
o On Site
o PROD, TEST, DEV
o Training Schedule Automatically Created
27. Maintenance & Monitoring
o Cloud
o Your own redundancy
o Data Dumps / Reports
o Internal
o Normal IT functionality
o Database Backups + Testing, Exports, Secure file
dumps
o Archiving Needs based on predicate rules for
document & records retention
28. Upgrade Paths
o Software Upgrades from Vendor
(Process + Validation needs)
o Software Release cycle
o Software Release Procedures and Testing
o Integration with other components Validation and
Testing
o Configuration Changes
o Release
o Validation
30. Checklist for Success
The Right Team In Place & Ready to Go
Project Plan and Coordinator
Software Master Documents &
Processes
Software Development Life Cycle (SDLC)
Software Validation
31. Checklist for Success
System Provides Needed Functionality and
Workflow
System is Secure and Capable of being
Compliant with regulations
Make Sure! Demand Demo on the Actual System
Challenge all critical functionality and compliance
elements
System Access and Availability
32. Checklist for Success
References Checked for Vendor Software
Company
Implementation Plan
Configuration
Customization (think hard before doing this!)
Support
Data Access
33. Checklist for Success
Reporting
Out of box, Ad Hoc, Custom
Uptime + Backup and Recovery
Upgrade Cycles Known and tested
All Super Users Trained
End Users Trained
35. Implementation Mistakes: How to Avoid Them
1. System isn’t Really compliant
o Thorough Vendor Audit
o Full understanding of Regulations by Project Team
2. User Resistance
o User Involvement: Decisions, Flow, Fields,
Reports
o Supportive Company leadership
36. Implementation Mistakes: How to Avoid Them
3. Delays
o Project Manager and Representative clear and have
authority
o Commitment for timely support, implementation and
training from Software Vendor or Internal
4. System won’t do what you thought it would
o Sand box & testing all use-cases from key
stakeholders
o Pre-planning that it follows your processes
o Clear Requirements, including Integration
37. Implementation Mistakes: How to Avoid Them
5. User Errors and misunderstandings
o Training and Documentation
o Clear workflow requirements and testing
6. Major player left the company
o Redundancy
7. Contracts Not Clear or Complete
o Data ownership is clear from beginning
38. Implementation Mistakes: How to Avoid Them
8. Changes made in Production that “Break”
functionality
o Quality System SOPs and SDLC process in place
9. Can’t find what you Need
o Ad Hoc Reports
o Training
o Time for workflows and testing
o “Ping” end-users for input during the whole
process
39. THANK YOU!
DEB GROSKREUTZ, Principal Software Engineer,
Database Engineers Bringing You Real Answers, LLC
MELITA BALL, Principal Consultant, MBC & Affiliates, LLC
& ZenQMS
debyrallc@gmail.com
(541) 482-4274
www.mbcaconsulting.com
mball@mbcaconsulting.com
(520) 665-9081
www.zenqms.com
(267) 670 8999
Editor's Notes
Reduce Human Error with functionality such as
Table driven select fields
Enforced non-blank fields
Signatures at point of change
Decisions based on data, not on what it “seems”…
The first thing to do is put your team together.
Buy-in and representation from all the relevant groups is key to a successful and on-time implementation, so make sure to include them up front as you gather requirements, view the demos and make decisions.
Of course the Quality and Regulatory groups and the management representative will be involved as possibly the main owners and over-seers of the system.
Senior Management and Heads of Stakeholder Areas are important in both getting and helping all of the end users understand the priority of the project as well as freeing up the time for members of their teams to participate.
Give a head’s up to the testing and validation folks.
For IT
Designate Software/IT owner(s) from start
Understands Quality Needs
Understands IT Needs
Communicator…is able to meet and understand each stakeholder area
Is willing to be trained to understand and configure/control the new system
The Software lead must understand the needs of every component to adequately configure workflows, create succinct and relative select list values, understand compliance and required fields.
If you don’t have internal resources that meet these requirements, consider a reputable consultant to get you going, up to speed, and be sure to include training and transfer of knowledge as part of the contract, as well as providing ongoing help when needed.
Based on our experience, we also recommend an IT backup that has all of the documentation, training materials, …we came into a site where the IT lead was a consultant…took off with all the materials, documentation, training materials…
So that internal resource is maybe another person on the main team, that can readily access their area and can be a backup for IT as needed.
Areas Required: All at once or start with one area? -Document Control, Design Control, Prod. and Process Controls, CAPA, Investigations, Complaints, Audits (Team Consensus)-Records with E Signatures:To maximize your investment, you shouldn’t be afraid of using e-signatures because it will add a lot of value…
Finish last points on the slide…
-Does the system match your process out of the box?-Review this both to understand the system better, and to determine the parts that fit and don’t fit into your company’s needs.
-How much custom configuration do you need? How much and how easy is it to do?
How much Workflow Control?
Required Fields
Select Fields (table-source driven and maintained)
Sign-off and Flow Management
Concurrent or sequential Collaboration and Approvals-Does the company have Best Practices?
If so, get them and determine if their best practices meet your regulatory and business needs?
Look at them closely with the team and modify as needed.
-External Guidance
If you have never completed a project like this before, then an external implementation expert, especially one with a regulatory and Quality System Expertise can save you both time and money in the long run. Often times we have been called in after an implementation has stalled or failed completely due to inadequate guidance and background knowledge early in the process.
If you choose a Cloud – based system
It can saves a lot of headache in terms of database maintenance and backups, IT staff you need on site, but you also lose some control
In terms of sign on and security: Is data entered by the right people that can only access and modify records in the system appropriate for their job, with the right security?
User Groups and Roles based on Login accounts
What types of Encryption, Masking, Time-outs are provided or able to be set up?
Verify that any fields that are entered by any user remain as permanent records, and the fields have been validated for what user can read or modify them.
Other examples of controls include the population of select list fields that depend on selected values in other fields.
Validate that only the correct values are displayed when the parent fields are populated.
For instance, if you have a Product line that is made up of 7 Unique Part Numbers, then when you select that product line value in the driving field, then the Part Number sub-field values are populated with, and only with those 7 relevant part numbers.
Another common control is to be able to specify what fields are required before the record can be saved or signed?
Data Transfer:
What do you own and what do you always have access to?
What happens if you have to move to another system down the road? Or you need to dump out large amounts of data to bring into another system? What kinds of your data can you access and at what cost?
Do you need to integrate to any other systems and what is supported in that respect?
Part 11: FDA requires that those electronic records be able to be printed for FDA inspections in human readable format.
On-Site – Do you have multiple sites to consider?-How is access for each site grouped? Are there separate flows to consider?
-How does that affect the roll-out of any configuration or software updates?-What are you sign-on Requirements. Many sites use a single sign on system, where you can use one username and password, controlled in a central repository (Active Directory/LDAP) for access to all systems? Is SSO required? -If so see how it is enabled and / or integrated with your system- Is the Operating System, Database, and technology available on the systems your company already has?
-If there will be functionality added on, is the system able to use your current resources in terms of servers or in-house expertise?
-Transaction Controlled DB: Access examples – JUST SAY NO!-Check all printers and linking to any other devices that you might need.
Personnel and equipment:Does the system need to support other devices like smart phones or tablets
If you’re using some combination of the Cloud and On-Site systems, consider the security and controls of the interactions and transfers of data between systems.
-People often think of reporting only as viewing and charting trends, searching and reporting on multiple systems perhaps grouped by product or month, and that type of thing. And that’s useful and you want to give that some thought as you figure out your business reporting needs.-But with an Electronic system, YOU MUST be able to pull out and print the data in a single record format! And that is what we’re referring to in this slide!-Part of the complexity in implementing these systems is making sure that you can print out these single record reports
-And so what is available out of the box with these single reports?
-Are there audit trails?
-What types of archiving of older data is available? Remember, you are required to keep records for a certain period of time depending on the regulations you are adhering to. Some systems allow for archiving of the older data for meeting the data retention requirements
-Does the single record report include all required fields?
-And remember the predicate rules of having Permanent, unchangeable records
-Are the records clearly printable and including the signatures?This part of functionality is critical especially when you’re capturing e-Signatures:You Can’t separate the signature from the associated data…And the signatures and the correlated data must all be reported as one record.Integration ability for Reporting?
Links to other systems? Customers or ERP –
For example, one thing that we’ve done is to link to a view in the ERP system to pull in the Part numbers and then be able to select all of the associated lot numbers depending on the Part number selected, So we could then associate these ERP numbers with a customer complaint and follow up investigation. We could also populate the customer name and contact information by accessing another view into the Customer Database.
With any links, or table-driven select lists, you need to make sure and validate that they are available and being properly populated and NOT changed if they’ve been selected, but later the underlying source tables change.
Can you e-sign records in the system?
So let’s talk a little bit about E-Signatures…
---------------------------------------With this type of report, you might consider:a) Ad hoc functionality if it’s there. With some systems, it’s there, and then already validated for general use, so that can save time and validation efforts as it’s done on an Ad Hoc basisb) Those often have limitation, so if you need more sophisticated reportsConsider finding out if specify reports you want can be developed internally with in-house expertise or if they have to be custom work done by the vendor $$. Many systems will integrate with reporting tools such as Crystal Reports, or even more programmatic interfaces and web servicesd) Remember, the reports need to be validated following your internal Software Validation SOPs and Software Dev. Life Cycle processes
We want to start talking about E-Signatures by talking about what they are not:
The are not sign-on, or log in procedures for accessing the system
And they are not Audit Trails
E-signatures cannot be system access because during system access the user is not signing off on anything – they are simply authenticating that they have privileges to the system.
E-signatures cannot be audit trails because audit trails must be recorded independently from the user without the users knowledge.
Whereas Signatures must be applies under the FULL CONTROL and KNOWLEDGE of the user.
Audit Trails…what changed and by whom…
Required for Audit Record: Date/time/person logged in/Field changing/old value/new value/ (can add other things such as reason for change, etc.)
2 part authentication:
For example, when approving a document with an e-signature
Pop-up: First time…both username and Password…can’t autopopulation (Type in username and password…the first time in the system…)
Second time you can autopopulate the password…
Indelibly linked to record…to quote the reg:
You have to have enough controls in your system so people can’t go in and move signatures from one signature to another…(legal terminology)
Test and validate to the fact that you can’t accidentally sign the wrong document or show up on a different record…Tested…validation…
These 3 items must be collected and printed on the records, too.
Use this as LITMUS test for if the system is going to be compliant or not…
During a live system demo…ask to see a printed signature on a document’s record. If it’s not there, they’re not compliant…move to the next vendor…
Similar thing can be said for the audit trails…old value/new value…if it’s not there…they’re not compliant…look at the audit trail for the transaction and see what it shows…already in trouble if they can’t find it or pull it up…before and after values…
Make sure it’s capable of being compliant and capable of being validated
Test it in your situation to make sure it is compliant in your environment!
Before committing to buying a system, Demand that demo be done on the Real system so you can check for compliant capability
Do you have Complex Internal requirements or Integrations to consider
Current Systems:
Do you have any existing systems to consider?
Will you be replacing or keeping them?
If you’re replacing, do you need access to the data long term? Are there tools to bring the existing data into the new System
What additional functionality might you have to consider?
There are so many ways to integrate with a variety of systems, and I’ve listed a few common ones here…
Always with an eye on Integration Testing and ValidationAnd whether you’re integrating to internal systems, or just different modules of functionality that you plan to release over time, how is each validated with respect to the others with each new upgrade or configuration change?
Whether you use a system that is on the cloud, or internal, consider backups of your data.
Cloud: Can you do secure dumps?
What procedures are in the contract? Or should be in the contract?
Are the reports sufficient for dump outs that you can use as your own backup or to update periodic internal reports?
Cloud – Recent Health Care client, spent thousands of dollars to bring their data into the Cloud-Based system based on Sales Promises and demos.
Tried for over a year to make it work…2 failed “go-lives”
Then called me in…worked with them to determine it wasn’t what they need.
Tried to terminate Waited for 3 months, had to pay thousands more dollars to get the promised CSV file of all their patient data…
Changed terminations…over 3 months…”Found” more charges…
Just got the file on Friday.
Call in a person up front as a guide if you don’t have internal expertise.
Archiving: Don’t forget archiving needs: Find out how long do you need, for the regs you’re following, to keep records available
Make Sure! On a Real System. Testing all functionality including test upgrades.
Demand that demo be done on the Real system so you can check for compliant capability
Check references. Preferably a longer term customer as well as a new one.
Asking things such as:
How did the implementation go?
Were they provided an implementer with knowledge in the field as well as communicative skills to cater the system to them?
Fully understand the customer-specific implementation needs.
How was support? Both in terms of understanding and timeliness?
Is there is there a user group?
Is there a forum that customers can access?
It might by worth asking, and perusing comments in the forum or other online user groups.
Have they had any issues accessing data (if on a cloud)
Reporting
Multiple
Single!! Printing out all required fields and signatures
1. System isn’t really compliant:(Reminder of quick checks for E-sigs and Audit reports)
2. User Resistance Involvement Supportive Company leadership and that includes a commitment to free up time for the users involved in the implementation, which also prevents the next mistake…
Delays:
Resource time committed for the implementation.
One of the main reasons for delay I’ve seen is that people were chosen for the team, and their other workload wasn’t adjusted. Make the time in team member’s schedules and relieve of other duties if over-booked.
Contracts:
What do you own and have access to vs. what the company owns (Cloud)
Health care company I’ve worked with held hostage once decided it was a bad choice and needed to move to another system (implementation failure,etc.)
We have witnessed the horror stories of software changes being “pushed” into production…and it brings the site down for 2 weeks…
Everyone is trained to Quality System and understands and respects what that means for their daily work.
We hope these talks have given you some background information, so that, when the time is right, you can implement a Quality Electronic system that keeps your company compliant and enables you to efficiently run your business.
Thank you for your time and attention and now I’ll open it up for any questions you might have for us.