Quality Flashcards

(34 cards)

1
Q

10 AABB QSES

A
QSE1:  Organization
QSE2:  Resources:  Qualification, Training, Competency
QSE3:  Equipment
QSE4:  Supplier and Customer Issues
QSE5:  Process Control
QSE6:  Documents & Records
QSE7:  Deviations, Nonconformances and Adverse Event
QSE8:  Assessments
QSE9:  Process Improvement
QSE10:  Facilities and Safety
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

cGMP

A

Current Good manufacturing Practices (cGMP)

Minimum requirements in 21CFR to ensure the safety, purity, potency, and identity of blood products and services.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

QSE1: Organization

A

> Executive Management & Medical Director > Quality System > Policies Processes & procedures > Emergency preparedness > Communication of Concerns > Customer Focus >

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

QSE2: Resources: Qualification

A

A process must exist to ensure and adequate number (quantitative) of qualified individuals (qualitative) are deployed to produce safe and effective products

  • Education
  • Continuing education
  • Training and/or experience
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

QSE2: Resources: Training

A

Required training
-cGMP for manufacturing of blood and its –components.
-Safety training
-Job-specific training
Use the learning domain to get desired outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

QSE2: Resources: Competency

A

Assessment of employees who perform testing.

Competency measures an employee’s ability to perform tasks according to procedures.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Assessment of employees who perform testing

A
  • Semiannually during the 1st year

- Annually thereafter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Competency and training program includes:

A
  • Schedule of assessments
  • Defined minimal acceptable performance
  • Remedial measures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

QSE3: Equipment

A
  • Maintain a list of qualified, critical equipment
  • Assign unique ID to track all equipment and software
  • Calibrate according to schedule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Calibration:

A

-The act of checking or adjusting (by comparison with a standard) the accuracy of a measuring instrument.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Validation:

A

-The documented act of proving that procedure, process, equipment, material, activity or system, actually leads to the expected results.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Installation Qualification IQ

A

Equipment has been installed correctly to manufacturer’s specifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Operational Qualification OQ

A

Tests functional elements and insures that the system will meet all defined user requirements under all anticipated conditions of manufacturing. Include a condition(s) encompassing upper and lower operating limits (worst case conditions.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Performance Qualification PQ

A

Manufacturing process works consistently under normal operating conditions for its intended use.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

QSE4: Supplier and Customer Issues

A
  • Supplier Qualification
  • Agreements maintained and reviewed
  • Incoming receipt, inspection and testing before acceptance for use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Supplier Qualification:

A

An evaluation method defined to ensure that materials or services received from supplier meets the facility’s specification

17
Q

QSE5: Process Control (12)

A
  • Standard operating procedures
  • Change control of policies, processes or procedures
  • Proficiency testing program
  • Quality control
  • Use of materials according to manufacturer’s directions
  • Sterility- bacterial contamination
  • Identification and traceability (includes labeling)
  • Inspection procedures
  • Handling, storage and transportation
  • Collection, manufacturing and testing requirements
  • Transfusion service related activities
  • Evidence of record keeping
18
Q

QSE5: Process Control

A

Policies and validated processes and procedures that ensure the quality of blood, blood components, tissues, derivatives and services.

19
Q

QSE6: Documents & Records (5)

A
  • Document
  • Records
  • Policies
  • Process
  • Procedures
20
Q

Document

A

Written or electronically generated information or work instructions

  • SOPs
  • Forms
  • Labels
21
Q

Records

A

Information captured in writing or electronically that provides evidence of activities performed.

22
Q

Policies:

A
  • A documented general principle that guides present and future directions.
  • Describes the INTENT
  • “Why” vs. what to do
23
Q

Process:

A
  • A set of related tasks and activities that accomplish a goal.
  • Describes the BEHAVIOR
  • “What who where when or how it happens”
24
Q

Procedures:

A
  • A documented step-by-step work instruction
  • Describes the EXECUTION
  • “How to do it”
25
QSE7: Deviations, Nonconformances and Adverse Event
Blood Bank facilities must report: - Biologic product deviations (BPD) to FDA. This is regardless of facility’s FDA registration or licensure. - Fatalities to FDA center for Biologics, Evaluation and Research (CBER) within 7 days of event
26
Nonconformance:
Failure to meet requirements
27
QSE8: Assessments
- Assessments | - Blood Utilization
28
Assessments:
- Internal | - External
29
Blood Utilization:
-Peer review of transfusion practices to ensure the effective use of limited blood resources
30
QSE9: Process Improvement
- Corrective Action - Preventive Action - Quality Monitoring
31
Corrective Action:
Eliminate cause of existing deviation
32
Preventive Action:
Reduce potential for future deviation
33
Quality Monitoring
Evaluate data for trends that may indicate the need for corrective/ preventive action
34
QSE10: Facilities and Safety
Policies, processes and procedures to ensure the provision of safe environmental conditions. - Safe environment – Facilities and workflow - Biological, chemical and radiation safety - Discard of components, tissues, and derivatives