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. 2018 Jun 9;3(3):e000771. doi: 10.1136/bmjgh-2018-000771

Table 1.

The five quality assurance criteria grouping the 12 activities derived from the Model Quality Assurance System

Five quality assurance criteria Twelve activities derived from the Model Quality Assurance System Definition
1 General quality requirements (GQR) Documentation system GQR includes the basic elements required for the establishment of a quality assurance system which is effective in preventing mistakes.
For example: documentation system with standardised norms and procedures that define each activity of the quality assurance system, the management of human resources, and the recall and complaints handling.
Human resources
Recall and complaints handling
Self-inspection
2 Good distribution practices (GDP) Organisation of the warehouse GDP includes the process of reception, storage and distribution of medicines.
For example: it defines under what physical conditions the products must be stored (temperature, humidity…) to prevent their degradation (development of degradation products, loss of bioavailability, etc).
Physical storage conditions
Stock control
Control at reception
Distribution
3 Cold chain management (CCM) Management of the cold chain CCM includes all of the means used to ensure a predefined temperature (generally between +2°C and +8°C) for temperature-sensitive products as they move through the supply chain, and so to ensure their quality, efficacy and safety.
4 Selection of sources (SS) Selection of the sources SS includes the criteria adopted to choose products from manufacturers that comply with good manufacturing practices. It is taken as an indicator of the quality assurance of the products as supplied by the manufacturers.
5 Quality control (QC) Quality control QC includes the design and implementation of a sampling plan to check the quality of supplied products, through full chemical analysis conducted at an accredited laboratory.