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[GMP相关] 检察官检查药厂,谁来检查检察官(二)

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药士
发表于 2017-11-1 22:18:20 | 显示全部楼层 |阅读模式

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Who inspects the Inspectors? (Part II)

Posted by:Ian Jackson, Posted on:10 January 2017

- Categories:Compliance matters, Good clinical practice, Good distribution practice, Good laboratory practice, Good manufacturing practice, Good pharmacovigilance practice, Inside the Inspectorate, Wider MHRA

In the October blog post we told you about the successful audit of the GMP Inspectorate under the JAP programme.  Later that month the entire Inspectorate was assessed as part of the BEMA programme.
Background
The Benchmarking of European Medicines Agencies (BEMA) process is another Heads of Medicines Agencies (HMA) initiative.  Unlike the Joint Audit Programme (JAP)  which is GMP specific, this process covers the whole of the Regulatory Agency.  The programme has the following broad aim:

  • To contribute to the development of a world-class medicines regulatory system based on a network of agencies operating to best practice standards.
BEMA is based on assessment of the systems and processes in individual agencies against a set of indicators which have been agreed in the following areas:

  • Management systems;
  • Assessment of marketing authorisation applications;
  • Pharmacovigilance (drug safety) activities; and
  • Inspection services.
The assessment is an opportunity to identify strengths and best practices in agencies and any opportunities for improvement; it is not an audit designed to identify non-compliance.  The exercise is not designed for direct comparison or ranking of agencies.  Agencies are encouraged to install suitable best practices in order to enable an improved operation of the network of agencies. The benchmarking exercise includes both a self-assessment and peer review assessment against the performance indicators in the BEMA questionnaire.
The questionnaire specifically sets out 12 key performance indicators (KPIs) and 41 specific performance indicators (SPIs). The questionnaire also incorporates elements relating to the HMA strategic objectives as listed in the HMA strategy 2015-2020.
The 12 KPIs are:

  • KPI 1 Strategy and planning
  • KPI 2 Leadership and culture
  • KPI 3 Stakeholders
  • KPI 4 Quality management
  • KPI 5 Risk management
  • KPI 6 Crisis management
  • KPI 7 Human resource management
  • KPI 8 Operations management
  • KPI 9 Information management
  • KPI 10 Interfaces
  • KPI 11 Scientific decision-making
  • KPI 12 Impact/effectiveness of regulation
MHRA assessment
This is the 4th BEMA cycle and so our 4th assessment, the last being in 2013.
The peer review assessment involves a visit by a team of three trained benchmarking assessors from other member states/agencies.
They validate the results of a self-assessment through interview with Agency staff and a review of supporting documentation and records to assess the maturity of our systems in regard to each indicator on a scale of 1-5.
A rating of 1 is equivalent to little or no system in place, a rating of 3 represents a stable formal system and a rating of 5 represents the best in class.
The MHRA assessment over 3 days (17 – 19 October) was conducted by a team of assessors from Greece, Denmark and the European Medicines Agency (EMA).
They interviewed around 46 staff across the Agency in order to validate the results of our self-assessment which had been submitted in July.
So how did we do?
Following discussion of the evidence, the peer review team assigned a maturity level for each indicator.
We scored very well in a number of areas, with many examples of best practice and some opportunities for improvement pointed out. Overall, there was an increase in the ratings for many indicators compared to the results of the last assessment in 2013.
The MHRA maturity values for each KPI ranged from 4 to 5 and a maturity rating of ‘5’ was assigned to 10 of the 41 SPIs.
The BEMA assessors afterwards said they would like to express their sincere thanks to all colleagues involved with the organisation and completion of their visit.
Next steps
Next steps will include reviewing the findings to identify improvement measures and to take forward any lessons learnt.
The results of the BEMA assessment demonstrate the effectiveness of many of the Agency’s systems, reinforcing the agency’s position in the network as a leading regulator.

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药士
 楼主| 发表于 2017-11-1 22:41:49 | 显示全部楼层
像EU这种组织,除了针对于内部各个国家监管机构(competent authority)有GMP方面能力相互检查(JAP),还有针对于监管整体能力互相评估(BEMA),其各个国家监管机构自身的能力不提高都难,政治监管体制差异啊。单向监管不但不能提高,而且更容易滋生官僚作风。
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药士
 楼主| 发表于 2017-11-1 23:05:45 | 显示全部楼层
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药徒
发表于 2017-11-1 23:07:22 | 显示全部楼层
有时候想想,如果手机行业也有类似药品的检查,现在我们可能还用着几万块钱一部的大功能机

点评

我也这么想。  详情 回复 发表于 2017-11-2 08:03
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药士
 楼主| 发表于 2017-11-1 23:08:05 | 显示全部楼层
本帖最后由 beiwei5du 于 2017-11-1 23:11 编辑

那么像美国这种单一国家,其FDA本身的监督是通过什么时限的,是怎么一种机制呢???@Jason
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药士
 楼主| 发表于 2017-11-1 23:27:31 | 显示全部楼层
中国如果能加入PIC/s,倒是至少有PIC/s机能周期性的对CFDA的GMP检查能力进行评估,但是现阶段的CFDA状况,是否有被接受的资格呢????
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药士
发表于 2017-11-1 23:39:39 | 显示全部楼层
鸡生蛋,蛋生鸡?
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药士
发表于 2017-11-2 08:03:43 | 显示全部楼层
ravenhigh 发表于 2017-11-1 23:07
有时候想想,如果手机行业也有类似药品的检查,现在我们可能还用着几万块钱一部的大功能机

我也这么想。
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药徒
发表于 2017-11-2 08:52:55 | 显示全部楼层
国内也应该有个这样类似的第三方监管机构,负责对药监局的运作机制,以及检查效果进行复核,同时负责对药监局进行监督,这个机构独立于现有体制之外,由专业人员组成,能够不受任何一方的影响而运作,哈哈哈

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想法很好,但国情与大环境不允许这样的机构存在  详情 回复 发表于 2017-11-2 11:46
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药徒
发表于 2017-11-2 09:02:50 | 显示全部楼层
他山之石,不翻译看不懂!
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药徒
发表于 2017-11-2 09:06:22 | 显示全部楼层
我们有人大委员会分会执行监督

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针对于药品监管科学,那么其又不是专业的。  发表于 2017-11-2 10:34
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药徒
发表于 2017-11-2 09:23:01 | 显示全部楼层
我这点高考勉强及格的英语水平,还是不去看了
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药士
 楼主| 发表于 2017-11-2 10:58:50 | 显示全部楼层
除了监管机构的平行检查,其实另一个更重要的途径就是“监督者”和“被监督者”的互相监督,这个“被监督者”可申诉,不偏不倚,通畅的途径现阶段有吗?
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药徒
发表于 2017-11-2 11:35:50 | 显示全部楼层
后悔英语水平差
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药徒
发表于 2017-11-2 11:46:09 | 显示全部楼层
玄月望夏 发表于 2017-11-2 08:52
国内也应该有个这样类似的第三方监管机构,负责对药监局的运作机制,以及检查效果进行复核,同时负责对药监 ...

想法很好,但国情与大环境不允许这样的机构存在
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药徒
发表于 2017-11-2 15:34:25 | 显示全部楼层
小蜜蜂嘻嘻。。 发表于 2017-11-2 11:46
想法很好,但国情与大环境不允许这样的机构存在

对啊,所以说,也就想想了
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药徒
发表于 2017-12-27 13:28:46 | 显示全部楼层
国内不清楚


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药生
发表于 2017-12-27 13:37:34 | 显示全部楼层
就一堆的KPI还知道是啥意思,剩下啥也不知道。

太高端了。神啊。
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药王
发表于 2023-1-8 17:03:21 | 显示全部楼层
感谢分享,努力学习
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