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CHAPTER 7


                   Quality Management System





                   Abstract
                      Your Quality Management System (QMS) is the internal reflection of the external standards. Your
                      SOPs bring the standards to life within your company. A clear, organized, and well-written SOP
                      sends a message to regulatory bodies that your QMS is consistent and compliant to applicable
                      standards. More importantly, well-written SOPs ensure that your personnel can faithfully and accu-
                      rately follow your internal processes resulting in proper outcomes and quality work. On the other
                      hand, a poorly written confusing SOP could result in noncompliance, which could lead to observa-
                      tions and warnings from regulatory bodies at best and in some cases, severe penalties including
                      consent decrees and shut down of the company.
                   Keywords: Quality Management System; risk management; SOP



                   Your Quality Management System (QMS) is the internal reflection of the external
                   standards. Your SOPs bring the standards to life within your company. A clear, orga-
                   nized, and well-written SOP sends a message to regulatory bodies that your QMS is
                   consistent and compliant to applicable standards. More importantly, well-written
                   SOPs ensure that your personnel can faithfully and accurately follow your internal
                   processes resulting in proper outcomes and quality work. On the other hand, a poorly
                   written confusing SOP could result in noncompliance, which could lead to observa-
                   tions and warnings from regulatory bodies at best and in some cases, severe penalties
                   including consent decrees and shut down of the company.
                      In addition to SOPs, many companies employ templates and work instructions to
                   assist in the quality execution of the risk management work. While SOPs are more
                   high level and designed to ensure compliance to applicable standards, work instruc-
                   tions provide detailed guidance on how to do the work.
                      As with all other controlled documents, risk management artifacts must be
                   controlled per the methods that are stipulated in your QMS. Absent this strict
                   control, it would be easy for analyses and their targets to go out of sync. That in
                   turn could lead into unwanted outcomes like missed Hazards, injured patient, audit
                   findings, etc.
                      One of the great benefits of a good risk management process is the ability to
                   provide safety impact analysis of proposed changes. In any good QMS, an impact





                   Safety Risk Management for Medical Devices                    r 2018 Elsevier Ltd.
                   DOI: https://doi.org/10.1016/B978-0-12-813098-8.00007-6         All rights reserved.  29
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