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Quality Risk Management An Introduction Steve Slater Director, - PowerPoint PPT Presentation

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Quality Risk Management An Introduction Steve Slater Director, TRAQuE www.traqueasia.com Objective of this presentation Understand concept and the process Understand how and where to apply QRM 2 www.traqueasia.com Risk

  1. Quality Risk Management An Introduction Steve Slater Director, TRAQuE www.traqueasia.com

  2. Objective of this presentation • Understand concept and the process • Understand how and where to apply QRM 2 www.traqueasia.com

  3. Risk Management is used in many areas Project: Every Project has risks and Project Managers attempt to rank risks so that they can manage them. Risks may include delays, budget overruns, specifications not met. The cause of the risks must be identified in order for ranking and mitigation to take place. 3 www.traqueasia.com

  4. Risk Management is used in many areas Safety: Risk management is a process by which the management assesses the risks, determines the control measures, and takes appropriate actions to reduce such risks. It is a cornerstone to prevent deaths, injuries and ill health at work. All workplaces need to conduct risk assessments to help identify the source of risks, actions that should be taken, and parties responsible for doing so. 4 www.traqueasia.com

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  8. T ERMINOLOGY Risk Assessment is the process of identifying hazards, assessing the level of risks involved, and prioritizing measures to control the hazards and reduce the risks. Risk Management is the systematic application of quality management policies, procedures, and practices to the tasks of assessing, controlling, communicating, and reviewing risk 8 www.traqueasia.com

  9. Hazards are situations with a potential for causing harm. www.traqueasia.com

  10. Hazardous events are possible scenarios that may cause harm www.traqueasia.com

  11. Causes are the possible reasons why a hazardous event may occur . www.traqueasia.com

  12. Detectability is the ability to detect situations that may cause harm www.traqueasia.com

  13. F REQUENCY Very likely Probable Possible Unlikely Highly unlikely www.traqueasia.com

  14. F REQUENCY Very likely Probable Possible Unlikely Highly unlikely www.traqueasia.com

  15. F REQUENCY Very likely Probable Possible Unlikely Highly unlikely www.traqueasia.com

  16. F REQUENCY Very likely Probable Possible Unlikely Highly unlikely www.traqueasia.com

  17. F REQUENCY Very likely Probable Possible Unlikely Highly unlikely www.traqueasia.com

  18. S EVERITY ( CONSEQUENCES ) Minor Significant Major Critical Disastrous www.traqueasia.com

  19. T ERMINOLOGY Safeguards (mitigation or risk reduction measures) are measures that either prevent or mitigate hazardous events. www.traqueasia.com

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  22. T ERMINOLOGY Risk is the combination of frequency and consequence of a hazardous event. www.traqueasia.com

  23. Who will suffer more harm if they fall? 23 www.traqueasia.com

  24. Who is more likely to fall? 24 www.traqueasia.com

  25. Probability 4 Severity 4 Risk 16 25 www.traqueasia.com

  26. Probability 1 Severity 4 Risk 4 26 www.traqueasia.com

  27. Probability 4 Severity 2 Risk 8 27 www.traqueasia.com

  28. Probability 1 Severity 2 Risk 2 28 www.traqueasia.com

  29. 4 16 Medium Critical 2 Low 8 High 29 www.traqueasia.com

  30. Q UALITY R ISK M ANAGEMENT • ICH Q9 is about Quality Risk Management – not Safety or Project Risk or Insurance Risk • It adopts many of the same concepts and tools as in other Risk Management • The evaluation of the risk to quality should be based on scientific knowledge and ultimately link to the protection of the patient 30 www.traqueasia.com

  31. Q UALITY R ISK M ANAGEMENT • How might we harm patients? • Wrong drug • Incorrect formulation • Cross contamination • Microbial contamination • Wrong information • Drug deterioration www.traqueasia.com

  32. D RUG D ETERIORATION • Storage • Poor design • Bad construction • Inadequate maintenance • Controls • Inadequate monitoring • Insufficient/no control over environment • Operations • Mix up – storage in wrong location www.traqueasia.com

  33. W HY U NDERSTAND R ISK • So that we can: • Prioritize and address high risk area first • Decide on the type of actions we need to put in place to mitigate risk • Decide if a risk is acceptable • Justify an activity or lack of activity • Measure if the risk reduction activities work 33 www.traqueasia.com

  34. P RIORITIZE • Prioritize and address high risk area first • You are replacing an existing manual temperature and humidity monitoring system with automatic continuous logging by computer. Which are the high priority locations to address first? www.traqueasia.com

  35. T YPE OF M ITIGATION • Decide on the type of actions we need to put in place to mitigate risk • You are making a highly potent compound in a multi product facility. You need to determine what are the most effective actions for preventing cross contamination www.traqueasia.com

  36. A CCEPTABLE R ISK • Decide if a risk is acceptable • You have breached in action level in your purified water system. You need to decide if this is an acceptable risk to the quality of the product batches affected. www.traqueasia.com

  37. J USTIFICATION • Justify an activity or lack of activity • You wish to reduce the level of microbial monitoring in your Grade D area. Can you justify this? www.traqueasia.com

  38. Quality Risk Management Process www.traqueasia.com

  39. R ISK M ANAGEM ENT P ROCE SS EMEN CESS Well-defined steps which, when taken in sequence, support better decision making by contributing to a greater insight into risks. 39 www.traqueasia.com

  40. R ISK M ANAGEM ENT P ROCE SS EMEN CESS • Risk Identification (identify potential problems) • Risks Quantification (How likely are the problems, what is the impact if they occur) • Risk Response (What shall I do about it) • Risk Monitoring and Control (How do I monitor the risk to ensure the probability does not change) 40 www.traqueasia.com

  41. R ISK M ANAGEM ENT P ROCE SS EMEN CESS 41 www.traqueasia.com

  42. I NIT TE ITIA IATE • Define specifically the risk management problem or question. • Assemble background information and data on the hazard, harm or human health impact relevant to the assessment. • Define how the assessment information and conclusions will be used by the decision makers. 42 www.traqueasia.com

  43. I NIT TE ITIA IATE • Identify the necessary resources, members of the team who have the appropriate expertise, with the leader clearly identified. • Ask the right risk assessment questions • State clearly the assumptions in the risk assessment • Assess the quality and sufficiency of relevant data • Specifying a timeline and deliverables for the risk assessment 43 www.traqueasia.com

  44. R ISK I DENTIFICATION • Identify the hazards • What might go wrong • What is the probability it will go wrong • What are the consequences (severity) 44 www.traqueasia.com

  45. R ISK A NALYSIS • Qualitative or quantitative assessment which links likelihood of occurrence with severity of harm 45 www.traqueasia.com

  46. R ISK E VALUATION • Compares the risk that has been identified and analyzed against risk criteria • Risk can be scored or expressed qualitatively (high, medium, low) 46 www.traqueasia.com

  47. R ISK C ONTROL • Do we need to reduce risk or can we accept it? • Is the risk above an acceptable level? • What can be done to reduce or eliminate risks? • What is the appropriate balance among benefits, risks and resources? • Are new risks introduced as a result of the identified risks being controlled? 47 www.traqueasia.com

  48. R ISK M ONITORING • All risk management processes are dynamic/iterative. Quality Risk Management when applied should benefit from new knowledge with each decision cycle and used to enhance future decisions allowing for continuous improvement. 48 www.traqueasia.com

  49. QRM APPLICATION • Based on the EU GMP and FDA Quality System Approach we can see that we can/must apply Risk Management approach to: • Deciding on monitoring locations for Clean rooms and clean air devices • On the amount of monitoring required for Grade C and D areas • Setting specifications and process parameters for manufacturing • Assessing the impact of change • Determining the extent of discrepancy investigation and corrective action • Assessing areas of process weakness or higher risk • Determining frequency of trending www.traqueasia.com

  50. T OOLS • Tools fall into several categories: • Facilitating tools • Statistical supporting tools • Risk ranking tools www.traqueasia.com

  51. F ACILITATING T OOLS • These do not rank risk. They include: • Flowcharts • Check Sheets • Process Mapping • Ishikawa diagram • Brainstorming www.traqueasia.com

  52. F ACILITATING T OOLS • Use these tools to understand the process, propose Hazard scenarios, determine probable causes and key control points www.traqueasia.com

  53. S UPPORTING STATISTICAL TOOLS Use these tools to analyze data to determine the significance of data sets. Control Charts Design of Experiments (DOE) Pareto Charts Process Capability Analysis www.traqueasia.com

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