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WHO对我国部分药品生产企业现场检查偏差管理相关缺陷分析

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目的:分析世界卫生组织(WHO)对我国部分药品生产企业现场检查偏差管理相关缺陷及缺陷产生的原因,针对发现的问题提出策略建议.方法:统计2021年以来WHO公开的检查信息,整理汇总偏差管理相关缺陷比例、严重程度及问题.结果:偏差管理相关缺陷13项,占3.35%,均为主要缺陷.主要问题包括:调查评估不充分、与产品生产相关偏差的评估分级不合理、纠正措施和预防措施不恰当;操作人员培训不到位,无法有效识别、上报及处理偏差;偏差处理记录和附件资料管理薄弱;偏差管理文件不完善.结论:建议可组建跨职能主题专家团队并采用根本原因分析工具对生产偏差进行调查评估;建立偏差处理案例库并持续开展培训考核;完善偏差管理文件并细化记录管理、趋势分析及重复偏差处理的要求.
Analysis of Deviation Management-Related Deficiencies in WHO On-Site Inspections of Pharmaceutical Manufacturers in China
This study aims to analyze the deficiencies related to deviation management identified in on-site inspection of China's pharmaceutical manufacturers by the WHO,and determine the causes of these deficiencies.Strategies and recommendations are proposed to address the identified issues.This paper reviews WHO's publicly available inspection information,and summarizes the proportions,severity,and specific problems related to deficiencies related to deviation management.A total of 13 deficiencies related to deviation management were identified,accounting for 3.35%.All these deficiencies were classified as major,with main issues including insufficient investigation and evaluation,unreasonable grading of deviations related to product production,and inappropriate corrective and preventive measures.Inadequate operator training led to ineffective identification,reporting,and handling of deviations.Weak management of deviation processing records and attachments,along with imperfect deviation management documentation is not perfect,were also observed.Recommendations include the establishment of a cross-functional expert team for comprehensive investigation and evaluation of production deviations using root cause analysis tools.There is also a need to create a database for deviation handling cases,conduct continuous training and assessment,and refine requirements for record management,trend analysis,and repeated deviation handling.

WHOpharmaceutical productionon-site inspectiondeviation management

胡俊、李茜、肖曼、高易娥、马环、潘海龙

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武汉生物制品研究所有限责任公司

中国生物技术股份有限公司

WHO 药品生产 现场检查 偏差管理

2024

中国食品药品监管
中国医药报社

中国食品药品监管

影响因子:0.099
ISSN:1673-5390
年,卷(期):2024.(1)
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