GDP-良好的文件记录规范.ppt

,Good Documentation Practices(GDP) 良好的文件规范,Definition of,What is the definition of Good Documentation Practices (GDP)? Concise, Legible, Accurate and Traceable records 简明 清楚 准确 可追溯 This simple statement encompasses all the requirements of GDP,Simple Statement, Hard Task?,Now we know the definition, but do we understand it? Concise: The document must tell the entire story and be understood by internal/ external customers Legible: The document must be readable by internal/external customers. Accurate: The document must be error free. Traceable: Each aspect of the document must be traceable, such as, who recorded it, where and why.,How Do We Make The Task Easy?,Lets examine what it means to be concise. Are our documents standardized? Are the documents easy for all to use? Do we have certain documents that consistently have errors? Do our documents tell a complete story: the beginning, the middle and the end to everyone? Once these questions are answered and resolved you can begin a new understanding of “concise”.,How Do We Make The sk Easy?,Lets examine what legible means. In its most simple form, legible means: Can everyone read what is written? No matter who, where or what, can the written or printed data be read by everyone?,How Do We Make The Task Easy?,Lets examine what it means to be accurate. Data shall be recorded as soon as possible and shall not be falsified. Simple? Not really. Anyone now has room to determine for themselves, when and how. A process must be formulated to catch any errors.,How Do We Make The Task Easy?,Lets examine what traceability means. Can everyone understand who recorded the data, why it was recorded, what was recorded and when it was recorded. Is everyone signing for what they recorded? Do we have a SOP that requires the record? Do we understand what it is we are recording? Can we determine when it was recorded? Standardized Documentation is KEY!,Why Should I Do This?,Documents are objective evidence that actions or tasks have been performed. Regulatory Agencies do not have Code of Federal Regulations (CFR) requirements saying to do this. Why? Because GDP is an expected practice!,Why Should I Do This?,Your documents can be subpoenaed into court! And anyone who worked with that document can also be subpoenaed into court regarding the document!,Which Records?,Quality System Records must always be reviewed for GDP.,What are Quality System Records?,Good examples of Quality System Records are:,What am I responsible for?,You are responsible for your signature: Written Signature,What am I responsible for?,You are responsible for your signature: Electronic Signature It shall never be transmitted or disclosed to anyone else You should never use someone elses electronic signature,What am I responsible for?,You are responsible for all recorded information before you WHAT? WHY? Yes, you should be reviewing all data before you to be sure no one has made any mistakes.,What do I do if find a Mistake?,All errors should be corrected by the person who created them. Or, if that person is not available , the error can be corrected by their manager Or, if that person is not available, the error can be corrected by the next highest member of management. And so on and so on etc.,How Are Mistakes Corrected?,Four simple steps: Draw a single line through the error Make the correction next to the error Sign and Date the Correction Write an explanation for the error,What do I do if I need more space?,What to do if you dont have enough space for the correction, explanation and/or signature and date. Simple enough: Draw an asterisk (*) next to the error. Place the asterisk/(*) on the same page where there is room to write. Now put your information there.,Is That All I Need To Know?,Well this would depend on your Standard Operating Procedures (SOP). Likely no, there should be more. Do you have written SOPs?,Ok, when in doubt what do I do?,Ask, Ask, Ask I can not str