Checklists and Templates - Final
Checklists and Templates - Final
Checklists and Templates - Final
Abstract
Utilizing an Audit Template or Checklist to conduct a facility inspection has pros and cons. This poster will explore completing quality assurance work with a checklist in hand and suggest other tools and methods of inspection that may provide greater flexibility through a less restrictive approach. Content on checklists or report templates may be written to achieve consistency between different audit staff members or to ensure that guideline or regulatory requirements are thoroughly addressed. At some point, multi-page, step-by-step templates may be cumbersome and repetitive and lead to a loss of the big picture. Further, checklists may constrain the ability of experienced y pp y auditors to fully apply their skills. This poster will contrast the value of checklists and the limitations they may impose. It will compare the use of checklists and templates with a variety of other methods or strategies for successfully completing a facility inspection. Suggestions of how to employ audit tools to effectively meet inspection objectives will be provided.
Risk-Based Audits
Definition: Inspections that rely on a sliding scale where greater review priority is placed on documents and processes which, if not effective, will result in a direct negative impact on the quality and integrity of the study (examples below)
Some Risk
Record Keeping / Documentation Training records errors Data recording practice SOP unclear or incomplete Organization Chart Unavailable or not recently updated Disorganized
Higher Risk
Facility Archives Secure but with no fire protection Sign-out procedures have no time limit Equipment Calibration Records Routine maintenance is not SOP defined Records are not easily accessible (in another department)
Highest Risk
Study Director / Investigator Lacks sufficient qualifications Workload too great Lack of data/records review Data Collection System & Instruments Weak or no validation No calibration & maintenance records Management QA is not independent and has limited influence Deliverable delays imply poor allocation of resources as scheduled
Checklists should not serve as the primary basis on which an audit is conducted. Without critical thinking, preparation, and experience, experience the depth of a checklist-controlled-audit will not be sufficient to accomplish the scope intended. Requalification Audits may not require an extensive, holistic checklist; instead, scrutinize areas or processes known from past experience to complicate studies or cause confusion. If a sponsor-directed audit involves a facility of scope larger than services required (i.e. sponsor conducting animal trial hiring a lab with capacity for human and animal studies), use audit time wisely and inspect only areas critical to the sponsors study. Particularly in a large comprehensive facility, deficiencies may go unnoticed while completing an audit template. Begin with Quality Indicators to identify facilitys level of compliance. As deficiencies are observed, explore more deeply where attention is apparently needed.
Cons
General Documents
Specific Documents
Protocol Study Forms Facility pre-inspection documents
Checklist or Template
Client-Specified Auditor-Designed Risk Focused SOP-Controlled