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What is quality assurance (QA)?
Systematic process ensuring products, services and processes consistently meet defined quality requirements
What does QA provide across an organisation’s operations?
Structured framework embedding quality from planning and production to testing, packaging and delivery
What is quality control (QC)?
Checking outputs to verify they meet specified requirements
What are two key characteristics of QC?
Output-oriented and detective
. What is GMP?
Minimum standard medicines manufacturers must meet in production processes
What requirements must products meet under GMP?
Consistent high quality, appropriate intended use, and marketing authorisation/product specification requirements
Why are QA, QC and GMP important in pharmaceutical manufacture?
Product quality and consistency,
regulatory compliance,
prevention of errors,
protection from contamination,
maintaining efficacy,
patient/professional confidence and patient safety
Is dissolution testing QA or QC
QC
Is staff training QA or QC? .
QA
Is equipment calibration QA or QC?
QA
Is testing raw materials QA or QC?
QC
Is SOP development QA or QC?
QA
Is batch release testing QA or QC?
QC
At what points is quality testing performed during manufacture?
Multiple points throughout manufacture
What stages of manufacture are commonly tested?
Raw material testing, in-process controls and finished product testing
Why are medicine alerts, recalls and safety information sometimes needed despite rigorous controls?
Defective medicines may be released to the public
Who should defective medicines be reported to?
MHRA
What actions may be taken following reports of defective medicines?
Alerts, recalls or additional safety information
What is the British Pharmacopoeia (BP)?
UK reference source for medicine quality control
Who publishes the BP and under what legislation?
BP Commission (part of MHRA) under the Medicines Act 1968
. What do BP monographs contain?
Quality standards, tests, specifications and analytical methods
What did the BP previously contain more of?
Working formulae
What do BP general notices and appendices provide?
Definitions of expressions and detailed testing information
Which pharmacopoeia has legal status in the UK?
European Pharmacopoeia
Why is the BP still relevant?
Ensuring medicine quality,
understanding specials/extemporaneous preparations,
investigating quality concerns,
supporting procurement/formulary decisions
, understanding generic interchangeability and the UK regulatory landscape
What is Martindale?
Complete drug reference
Where can Martindale be accessed?
Medicines Complete
What information does Martindale provide?
Nomenclature, physical/pharmaceutical properties, adverse effects and uses of drugs/excipients
What is Pharmaceutical Excipients?
Reference source for inactive compounds in medicines.
. Where can Pharmaceutical Excipients be accessed?
Medicines Complete
What information does Pharmaceutical Excipients provide?
Uses, physical and chemical properties, safety and handling
What do incompatibilities affect?
How a medicinal product is formulated and stored
What is Article 65 guidance?
Guidance listing excipients that may affect patients
Which excipients must be listed under Article 65 guidance?
Excipients that can have an effect on the patient
Where must Article 65 excipients be listed?
Medicine label
Are Article 65 excipients listed on dispensing labels?
No.
Where can concentrations of flavourings and preservatives be found?
Pharmaceutical Codex 1994
In which dosage forms are flavourings and preservatives commonly used?
Liquid dosage forms
What must formulators know about flavourings and preservatives?
Appropriate concentrations plus advantages and disadvantages
Why is medicine quality essential?
Patient safety
What is the role of QA?
Prevent defects
What is the role of QC?
Detect defects
What does the BP provide for medicines in the UK?
Legally recognised quality standards
What do modern BP monographs define?
Standards rather than manufacturing recipes
What professional responsibility do pharmacists have regarding medicine quality?
Understand and apply quality standards throughout medicines use and use reference sources such as BP, Pharmaceutical Codex, Martindale and Article 65 guidance where appropriate