“Whatever is worth doing at all, is worth doing well” -Philip Dormer Stanhope

Total Quality Management Quality Risk Management Sreenath RN Deputy General Manager- R&D Karnataka Antibiotics and Pharmaceuticals Limited, Bengaluru

SIPOC- Overall Process Suppliers Inputs Process Output Requirements Customers Manufacturers Vendors Service Providers Equipment Utilities Skilled / Trained Manpower Drug Product Patients Hospitals Quality Safety Efficacious Affordable On-Time Availability Dispensing Granulation Drying Blending Tableting Coating Packing

Total Quality Management

Total Quality Management [TQM] …means “doing the right thing right the first time” must be considered at planning as well as during activities of operations directed at improving existing processes focuses on achieving customer satisfaction A means of defining and updating organization's expectations and translating these into internal goals and objectives Identifying and effecting continual improvement in all areas

Total Quality Management Appropriate quantitative measurement techniques, including analysis of both positive and negative trends Performance-based assessment of ongoing activities with feedback to planning and other management functions Positive fault correction, including effective corrective and preventive actions well as proper adaptive actions

If TQM program were totally effective, some of the elements which focus on problems are not necessary However…

..if “doing the right thing right the first time” represents the ideal situation, then ‘doing the right thing right the second time” seems the next best performance

Root cause analysis can help identify the more obvious and needed improvements to current operations, since It focuses on present obstacles --Therefore, root cause analysis techniques can be used to identify these likely opportunities for improvement, as well as provide the road map for their attainment

TQM efforts when used in a, reactive mode, it can prevent problems from recurring proactive mode, it can examine current operations and help to identify areas and activities to be improved

Enhanced product and process understanding RFT- How? By obtaining increased process and product understanding in order to identify and appropriately manage critical sources of variability and hence achieve “right first time” performance Need for a shift in paradigm: From compliance Enhanced product and process understanding

Quality Risk Management

Quality Risk Management [QRM] –ICH Q9 …a systematic process for the assessment, control, communication and review of risks to the quality of the drug product across the product lifecycle

Initiating Quality Risk Management process ..should include systematic processes designed to coordinate, facilitate and improve science-based decision making with respect to risk Possible steps used to initiate and plan a quality risk management process might include the following: Define the problem and/or risk question, including pertinent assumptions identifying the potential for risk Assemble background information and/ or data on the potential hazard, harm or human health impact relevant to the risk assessment Specify a timeline, deliverables and appropriate level of decision making for the risk management process

Risk Assessment Risk assessment consists of the identification of hazards and the analysis and evaluation of risks associated with exposure to those hazards Risk identification .. is a systematic use of information to identify hazards referring to the risk question or problem description Information can include historical data, theoretical analysis, informed opinions, and the concerns of stakeholders Risk identification addresses the “What might go wrong?” question, including identifying the possible consequences

Risk Assessment Risk analysis .. is the estimation of the risk associated with the identified hazards It is the qualitative or quantitative process of linking the likelihood of occurrence and severity of harm

Risk Assessment Risk evaluation ..compares the identified and analysed risk against given risk criteria Risk evaluations consider the strength of evidence for all three of the fundamental questions

Risk Control Risk control includes decision making to reduce and/or accept risks The purpose of risk control is to reduce the risk to an acceptable level The amount of effort used for risk control should be proportional to the significance of the risk

Risk Control Risk reduction ..focuses on processes for mitigation or avoidance of quality risk when it exceeds a specified (acceptable) level Processes that improve the detectability of hazards and quality risks might also be used as part of a risk control strategy

Risk Control Risk acceptance .. is a decision to accept risk For some types of harms, even the best quality risk management practices might not entirely eliminate risk In these circumstances, it might be agreed that an appropriate quality risk management strategy has been applied and that quality risk is reduced to a specified (acceptable) level

Process Scale-up & Tech Transfer Risk Management Product Development Process Development Process Scale-up & Tech Transfer Manufacturing Implementation Excipient & drug substance design space Product/prior Knowledge Risk Assessment Risk Assessment Process design space Process Understanding Product quality control strategy Risk Control Continual improvement Process History Risk Review Risk Management

Risk Management Methodology Quality risk management supports a scientific and practical approach to decision-making It provides documented, transparent and reproducible methods to accomplish steps of the quality risk management process based on current knowledge about assessing the Probability(P), Severity(S) and sometimes Detectability (D) of the risk Risk Priority Number (RPN) – SxP (or) SxPxD Arranged in descending order with a cut-off for investigation and corrective action

Risk Management Methodology Traditionally, risk to quality were assessed using empirical procedures, such as observations and trends Additionally, risk management tools are also being used, such as, Basic risk management facilitation methods (flowcharts, check sheets etc.) Failure Mode Effects Analysis (FMEA) Failure Mode, Effects and Criticality Analysis (FMECA) 5 Why’s Define, Measure, Analyze, Improve and Control (DMAIC) Fault Tree Analysis (FTA) Hazard Analysis and Critical Control Points (HACCP) Hazard Operability Analysis (HAZOP) Preliminary Hazard Analysis (PHA) Risk ranking and filtering Supporting statistical tools

Failure Mode Effects Analysis (FMEA) The 8 M’s in Manufacturing: (Toyota-Model) Machine (technology) Method (process) Material (Includes Raw Material, Consumables and Information) Man Power /Mind Power Measurement (Inspection) Milieu/Mother Nature (Environment) Management/Money Power Maintenance

Failure Mode Effects Analysis (FMEA)

5 Why’s The Problem Product is getting delivered late to the customer Too many orders backlogged in the system Couldn’t ship particular orders for almost 3 weeks Out of a specific piece of equipment on the orders Material shortage on a component Only one single source for the component and the supplier could not deliver the component (the root cause)

Finally... Procedures & Quality Systems Say What You Do Do What You Say! Check What is Done! Systems Manual, SOPs, WIs, Records Internal Practices

Thank you!