Quality Management Systems (QMS) for Laboratories Preparation and Implementation Requirements of ISO/IEC 17025 and ISO 9000 Elizabeth M. Dax National Serology Reference Laboratory, Australia www.nrl.gov.au
From the National Serology Reference Laboratory, Australia 41 Victoria Parade, Fitzroy, Vic Australia 3065 WHO Collaborating Centre on HIV/AIDS since 1985
Roderick Chappel, Sandy Walker and Elizabeth M. Dax
www.nrl.gov.au
Aims of the QMS Section
To clarify the requirements of a Quality Management System (QMS)
Objectives of the QMS Section (1)
Define aims, costs and benefits of a QMS
Share NRL’s experience in preparing for and implementing a QMS
Define requirements of ISO/IEC 17025 and the overlap with ISO 9001
Objectives of the QMS Section (2)
To train in the more ‘difficult’ elements of ISO/IEC 17025 and ISO 9001, including
Requirements of a documented quality system
Document control
Internal audits
Corrective action
Equipment
Management review
Aims in Achieving Quality
To ensure that outputs and outcomes are
consistent
reproducible
traceable
efficacious
To ensure no harm
The Value of Standards
Help us do things better
Necessary compliance
Learning from others' experiences
Encourage continuous improvement
Effect of Quality Management on Costs
Initial costs
internal costs of failure
e.g. testing errors, reworking
external costs of failure
e.g. complaints, losing customers
Effect of Quality Management on Costs
Implementation costs
Ongoing costs
prevention
appraisal
failure costs (reduced)
Effect of Quality Management on Costs
External Costs
Internal costs
Implementation Costs
Ongoing Costs
Appraisal
Prevention
External Costs
Internal costs
Cost $
Time
The Benefits
Independent endorsement of competence
Improved service to stakeholders
Increased awareness of quality
Organisational stability
Accreditation and Certification
Laboratory Accreditation
NATA/RCPA Medical Testing
NATA - ISO/IEC Guide 25:1990
NATA - ISO 17025:2000
Accreditation and Certification
Quality Certification
ISO 9001, ISO 9002:1994
ISO 9001:2000
Requirements Simplified
Quality Assurance Systems Why Both NATA & ISO 9000?
ISO 9000
Management
NATA
Technical
Implementing the Guidelines
Design a system
Implement the system
Verify the system meets the guidelines (audits, review)
Finalise implementation
QUALITY SYSTEM
Developing a Quality System
In a Quality System, work activities are described in written procedures and carried out in a planned way. The structure of a Quality System conforms to the relevant standards.
Quality Policy
Quality Strategy
Quality Manual
Procedures
Work Instructions
Mission Statement
How policy implemented.
QP + QS + description of quality system, how standards are applied.
Describe how processes which affect quality are carried out.
Additional detail on how specific jobs are carried out.
1. Management
1. Management
Management and staff commitment
“Management & leadership is for everyone”
Appoint Quality Manager to establish, implement and maintain the quality system
Implementing a QMS
2. Quality System Planning
2. Quality System Planning
Training of appropriate personnel
Visit other organisations
Implementing a QMS
3. Quality System Design
3. Quality System Design
Identify core processes
Create an organisation process map
Structure documentation around the processes
“Allow standard to fit organisation”
Implementing a QMS
4. Format of Documents
4. Format of Documents
Determine format of quality system documents
Document this in a procedure
Implementing a QMS
5. Successful implementation requires:
5. Successful implementation requires:
planning, management,
belief in system
understanding the “spirit” of the standard
understanding organisation’s aims
having staff involved at all levels
look for real process improvements
setting realistic time frames
Implementing a QMS cont.
5. Implementation
5. Implementation
Set out the program for Implementation in stages: Gantt chart format is most appropriate