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Kaizen Blitz for Ebola Safety Solutions
Johns Hopkins University
A weekend design challenge to develop new protective gear for health workers fighting Ebola drew students, faculty, and clinicians from across Johns Hopkins University and beyond, along with $25,000 in state seed grants to support further development of the best ideas. Jhpiego, a nonprofit global…
Responding to FDA 483 Observations, Part 1
The QA Pharm
This three-part series will discuss how to respond to the U.S. Food and Drug Administration’s Form 483 (FDA 483), which is issued at the conclusion of an inspection to document potential violations to the Federal Food, Drug, and Cosmetic Act. We’ll look at how to assess the work needed to address…
Sub-Zero Solutions for Pharmaceutical Standards
Quality Digest
BioCision was founded in 2007 by Rolf Ehrhardt and Brian Schryver when they realized, having spent many years in the clinical and laboratory environment, that there were critical unmet needs in the handling of temperature-sensitive biospecimens and biologics. The rapid adoption of their first…
Electronic Health Records Fall Short
Alexandra Brown
The past five to 10 years, hospitals and physician offices have been in a mad dash to implement electronic health records (EHRs) to meet governmental regulatory requirements. Now that most projects are either complete or well on their way, what are we doing with all of the data that EHRs promised…
Four Habits of Highly Effective Healthcare Leaders
Katherine Watts
Healthcare in 2014 is in a state of flux. The Affordable Care Act (ACA) health insurance exchange marketplace opened in October of 2013 with a rough start, and it has still not gained traction. Meanwhile, Medicare and Medicaid are squeezing reimbursement, and there is a growing population paired…
What Kind of Healthcare Leader Are You?
Barry Plunkett
Leadership at healthcare organizations is being tested like never before. The move away from a fee-for-service model to a patient-outcome-based model means management has to get clinical-care teams collaborating in a whole new way. Your leadership style and the culture you help create within your…
Medical Device Cybersecurity Risks
Michael Causey
Well, boys and girls, Halloween is approaching. Although it’s fun to don a Dracula (or Miley Cyrus) costume and get some yucks faux-scaring folks, the FDA is acting like a responsible parent by setting up a medical-device cybersecurity public workshop, “Collaborative Approaches for Medical Device…
If You Need a Burning Platform to Justify Change...
The QA Pharm
Oftentimes pharma has a split personality. One personality loathes firefighting, and the other needs a burning platform to justify doing anything that requires spending money. Go figure. This becomes evident in our industry when some companies can’t part with a pittance of their billion-dollar…
FDA Proposals Take a Fresh Look at Some Stale Food Issues
Tamar June
The landmark Food Safety Modernization Act (FSMA) just keeps getting more and more important. Earlier this month, the Food and Drug Administration (FDA) unveiled four proposed amendments that will likely make a tough law even tougher. The FSMA, signed into law in January 2011, is designed to…
How Not to Motivate Physicians
Alexandra Brown
As a physician, I enjoy listening to nonphysicians tell me how to motivate doctors. I don’t mean this in a totally snarky way (well, maybe just a little). These conversations often highlight the chasm that exists between physicians and administration. What’s the most common motivator people throw…
It’s Time to Get IEC 62304 Before It Gets You
Russ King
Food and Drug Administration (FDA) medical device recalls are on the rise. An increasingly active FDA coupled with an increase of medical device software components is adding up to new challenges for manufacturers. It’s important to understand how the FDA uses IEC 62304, an international standard…
ISO 13485 Certification for Temporary Labor and Staffing Services
Whitney Andrews
Medical device manufacturers are facing mounting pressure to better manage the quality of their supply chain. One approach they’ve taken to improve risk management and increase efficiency is to partner with suppliers who are ISO 13485 certified. ISO 13485 is an internationally recognized quality…
Healthcare Consolidation and Black Swans
Thomas Prewitt Jr.
I am concerned about the rush to consolidation we are seeing in the hospital industry. It seems all too tidy and easy, and if there is anything I have learned from my 30+ years in clinical medicine, it is that nothing in healthcare is easy.  Larger hospitals began acquiring smaller hospitals in…
Meet MAUDE
Taha A. Kass-Hout, Jeffrey Shuren
In addition to food and drugs, the FDA has regulatory oversight of tens of thousands of medical devices ranging from bandages and prosthetics to heart valves and robotics. These products are used by millions of Americans, and they are essential, well-performing tools of modern healthcare, but…
FDA Guidance Advises Device Makers to Think About Home Use
Michael Causey
Medical device manufacturers would be well-advised to address any risk with potential home-use products during their design phase, according to an August 2014 guidance from the FDA. As the agency notes, “Failure to adequately consider potentially hazardous situations during the design of home-use…
When Accountability Systems Meet Strategic Planning
Dawn Bailey
In a recent column, I shared insights from the 2013 Baldrige Award recipients’ leaders as they fielded questions related to their journeys to excellence. There was so much thoughtful reflection that it couldn’t fit into just one column. More answers to questions follow: How did you convey to…
Quality Improvement in Healthcare
Carly Barry
Via Christi Health, the largest provider of healthcare in Kansas, operates a Center for Clinical Excellence that’s made up of a team of quality practitioners; all have had lean and Six Sigma training. I recently had the opportunity to talk with the team about the types of projects they’re working…
Essentials for Sustaining an Operational Pharmaceutical Quality System
The QA Pharm
After nearly 20 years helping the biopharmaceutical industry to regulatory enforcement by implementing an operational and sustainable quality management system, I have come to the conclusion—at the most fundamental level—that there are three quintessential elements required for success. I call…
Time to Take a Closer Look at FDA MDDS Moves
Russ King
The FDA recently released a new draft guidance document for medical device data systems (MDDS). The FDA defines MDDS as “hardware or software products that transfer, store, convert formats and display medical device data. An MDDS does not modify data, and it does not control the functions or…
Protecting the Global Drug Supply
Howard Sklamberg
Since July 9, 2012, when President Obama signed the Food and Drug Administration Safety and Innovation Act (FDASIA), a group of colleagues and I have had an urgent mission: implement Title VII of the statute. This section gave the FDA new authority to better protect the global drug supply chain,…
Questioning Protocol
Christine Schaefer
In the Baldrige Health Care Criteria for Performance Excellence, category three, concerning customer focus, asks how your organization engages its patients and other customers for long-term market­place success. The related self-assessment questions cover how your organization listens to the voice…
Charles Darwin, Social Media, and the FDA’s New Guidance
Michael Causey
If someone out in there in the wild wonderful world of the web takes a potshot at your drug or device, the first thing to do is take a deep breath and think. Any crisis communications executive worth her salt will tell you it’s often best to let the attacker eat silence rather than draw more…
Quality of Nation’s Healthcare ‘Fair’ But Slowly Improving
AAFP
For the 11th consecutive year, the Agency for Healthcare Research and Quality has released complementary reports that assess the U.S. healthcare system’s performance in the areas of healthcare quality, access, and disparities in care. The two reports—the 2013 National Healthcare Quality Report and…
Is There a Solution to the Challenges in Healthcare?
Robert Fangmeyer
What does healthcare in the United States need? Well, according to a report released May 29, 2014, by the President’s Council of Advisors on Science and Technology (PCAST), U.S. healthcare organizations need “systems engineering.” In their letter to President Obama, PCAST co-chairs John Holdren…
Is Your Medical Device ‘State of the Art?’
Not knowing the answer to the question posed in the title of this article has led many medical device manufacturers to undertake expensive and unnecessary retesting of their previously certified products. In Annex 1 of the “Medical Device Directive 93/42/EEC—Essential Requirements—Section 2,” the…

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