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David Markovitz 74 SPECIAL EDITION: A Roadmap to GMP Compliance Part 2 “GXP Training Tips” provides ideas and suggestions associated with the planning, management, and execution of training programs for regulated industries. Reader comments, questions, and suggestions are requested. Case stud- ies illustrating training applications submitted by readers are most welcome. Please send your comments, questions, and suggestions to column coordinator David Markovitz at [email protected] or managing editor Susan Haigney at [email protected]. KEY POINTS The following key points are discussed: Discipline to follow policies and procedures is key to GXP compliance Reminding people of GXP basics helps to create a habit of compliance GXP training should be conducted on an ongoing basis Fundamental GXP topics are suggested. INTRODUCTION The late John Wooden, legendary coach of University of California-Los Angeles’ (UCLA) champion basketball teams in the 1960s and ‘70s, stressed the basics. The first lesson during the first practice of each sea- son was how to put your socks on and how to tie your shoes. The new players were often surprised at this and would complain with phrases like, “Coach, we learned that in kindergarten” and “We already know how to do that.” But Coach Wooden would insist they do it his way, as he had proof that his way reduced the chance of blisters and reduced the chance of tripping on a loose shoelace during a game. Essentially Coach Wooden had a standard operating procedure (SOP) for putting on one’s socks and shoes. He often cited this as one of the major reasons for his record string of championship teams. This was important not only for the two reasons cited above, but also it created the discipline among the players to follow the playbook and listen to their coach. So much of following GXPs in our organizations is the discipline to follow our policies and procedures—our playbook. Most companies that run into trouble with GXP violations with the US Food and Drug Administration and other regulatory bodies find that it is that discipline that is lacking. The policies are in place. The procedures are written and in place. But, for a variety of reasons, people in the organization do not follow the policies or procedures. Reminding people of the basics of GXP is a good place to start in creating a habit of GXP compliance within the organization. Certainly new personnel need to know the basics. But reminding everyone on a regular basis reinforces the importance of GXP compliance. GXP Compliance–Start with the Basics David Markovitz MARCUS MORESBY/GETTY IMAGES

GXP Compliance–Start With the Basics

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  • David Markovitz

    74 Special edition: A Roadmap to GMP Compliance Part 2

    GXP Training Tips provides ideas and suggestions associated with the planning, management, and execution of training programs for regulated industries.

    Reader comments, questions, and suggestions are requested. Case stud-ies illustrating training applications submitted by readers are most welcome. Please send your comments, questions, and suggestions to column coordinator David Markovitz at [email protected] or managing editor Susan Haigney at [email protected].

    KEY POINTSThe following key points are discussed:

    Discipline to follow policies and procedures is key to GXP compliance

    Reminding people of GXP basics helps to create a habit of compliance

    GXP training should be conducted on an ongoing basisFundamental GXP topics are suggested.

    INTRODUCTIONThe late John Wooden, legendary coach of University of California-Los Angeles (UCLA) champion basketball teams in the 1960s and 70s, stressed the basics. The first lesson during the first practice of each sea-son was how to put your socks on and how to tie your shoes. The new players were often surprised at this and would complain with phrases like, Coach, we learned that in kindergarten and We already know how to do that. But Coach Wooden would insist they do it his way, as he had proof that his way reduced the chance of blisters and reduced the chance of tripping on a loose shoelace during a game.

    Essentially Coach Wooden had a standard operating procedure (SOP) for putting on ones socks and shoes. He often cited this as one of the major reasons for his record string of championship teams. This was important not only for the two reasons cited above, but also it created the discipline among the players to follow the playbook and listen to their coach.

    So much of following GXPs in our organizations is the discipline to follow our policies and proceduresour playbook. Most companies that run into trouble with GXP violations with the US Food and Drug Administration and other regulatory bodies find that it is that discipline that is lacking. The policies are in place. The procedures are written and in place. But, for a variety of reasons, people in the organization do not follow the policies or procedures.

    Reminding people of the basics of GXP is a good place to start in creating a habit of GXP compliance within the organization. Certainly new personnel need to know the basics. But reminding everyone on a regular basis reinforces the importance of GXP compliance.

    GXP ComplianceStart with the BasicsDavid Markovitz

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  • David Markovitz

    Special edition: A Roadmap to GMP Compliance Part 2 75

    Frequency of TrainingAll GXP training should be conducted on an ongoing basis. The job responsibilities and level of risk to the product should determine the frequency of the train-ing. People who have direct contact with the product should have more frequent training than someone whose job has no contact with the product. For example, someone working in the accounts receivable department, especially if their office were separated geographically from the manufacturing site, would need much less frequent GXP training. Shorter and more frequent training sessions keep GXP fresh in peoples minds.

    GXP BASICSHere is an approach for focusing on the fundamentals of GXP compliance in your organization. The follow-ing topics constitute the fundamentals of GXP. Ev-eryone in your organization should be familiar with them. Consider building your GXP training process upon the foundation of these fundamental topics.

    The History of the GXP RegulationsWhen people understand that regulations are not written in a vacuum, but in response to serious issues and shortcomings, it helps them see and understand the sense and logic behind the regulations. Whether your final output is products or services, be sure to tie in the fact that your policies and procedures were written to ensure compliance with the regulations and to ensure consistency in the final output.

    Customers and their ExpectationsMake sure your people know who your customers are and how your products or services help them. In our industries, often the ultimate customer or user of the product is called the patient. Product defects or product failures can result in injury or even death to the patient. This helps personnel understand the seriousness of their work.

    The Big PictureWhen new personnel join your organization, make sure they learn what your products are and how they are used or what your services are and how they benefit your customers. Ensure that they understand how their work and contributions fit into the overall scheme in your company. The more people under-stand how work gets done, the better their decisions become as they are faced with the decisions that are made on a daily basis.

    Writing Good and Effective ProceduresPreparing good written procedures is not a natural talent. Rather, it is a skill that can be learned. Consis-tency in your processes is often managed by consis-

    tency in our written procedures. Your SOP #1 should be the SOP on SOPs. It should spell out the format and level of detail required in procedures. Outline the components of a well-written procedure during your training sessions. Its easy to contrast a well-written procedure with a poorly written one. Examples of poorly written procedures are all around us. Just read some of the procedures for consumer items that re-quire assembly or instructions with home electronic gadgets.

    Following Policies and Procedures for ConsistencyFollowing policies and procedures leads to consistent performance. This topic is critically important in that it helps create the habit within everyone in the work-force to follow procedures, and to work to continu-ally improve those procedures where needed. Here is where we also reinforce the need to document all deviations and discrepancies, no matter how minor or insignificant they appear to be.

    Keeping Good RecordsOur customers and regulators expect our records to be accessible, complete, accurate, and legible. You should have an SOP on good documentation practices for your organization. Standardize how you record the date and time. Stress legibility. This alone can sig-nificantly reduce the number of mix-ups and errors.

    Managing Materials to Prevent Contamination, Mix-ups, and ErrorsLabeling raw materials, work-in-process, and finished goods properly is another basic principle of GXP. Or-ganization of warehouses and storage areas is critical here as well. Stress the benefits derived from main-taining a neat and orderly workplace.

    Guarding Against ContaminationCleanliness is critically important in our industry. Make sure everyone understands how easy bacterial contami-nation can occur and why it is important to follow clean-ing procedures exactly as they are written.

    Maintaining Buildings and EquipmentBuildings and equipment should be maintained in a good state of repair. Report any conditions that need attention, and follow-up to make sure that they are fixed. It is easy to let things slide if things are not attended to promptly. Always check calibration stickers to ensure that equipment is not past due for calibration before using the equipment.

    Checking and Double CheckingHuman beings make mistakes. Thats why we cre-ate independent verification, or double-checking,

  • David Markovitz

    76 Special edition: A Roadmap to GMP Compliance Part 2

    into our systems and processes. Dual signatures or signoffs are put into place as a safeguard against over-looking something that may be wrong or missing. Ensure that personnel understand that it is more than just a second signaturethis practice is independent verification. There must be a process or procedure in place to properly conduct an independent verifica-tion.

    AuditsThe purpose of an internal audit is to check on how well our systems and processes are doing. Unfor-tunately in some organizations, an internal audit is used to catch and reprimand personnel doing things incorrectly. This is a surefire way to ensure that no one will cooperate with the auditor. Make sure your people know how audits are performed, and the over-all benefits of identifying shortcomings and working to improve the systems and processes in place. Effec-tive audits are an integral part of a quality manage-ment system.

    The Role of FDA in ComplianceFDA and other regulatory bodies worldwide repre-

    sent the citizens of their respective nations. Their job is to ensure that the customers, or patients, can trust your organization to manufacture quality products that will result in no harm. Its important to make sure that personnel understand the authority of the regulators.

    SUMMARYThe list of basics presented herein is a starting point. These basics are fundamental topics to be covered in GXP training. These are Coach Woodens putting on your socks and shoes. They form the basis for future training and discussion of more advanced topics and the discipline to follow our policies and procedures. Reminding people of the basics of GXP is a good place to start in creating a habit of GXP compliance within the organization. GXP

    ABOUT THE AUTHORDavid Markovitz is the founder and president of GMP Training Systems, Inc., (www.GMPTrainingSystems.com) a provider of GXP training products and services. David can be reached by e-mail at [email protected] and at by phone at 714.289.1233.

    Originally published in the Spring 2011 issue of Journal of GXP Compliance