What constitutes GoodDocumentation
Legible: everyone should be able to read what is written
regardless of who, where or what has been written.
Concise: the document must provide clear information that is
understood by all customers
Traceable: who recorded it, where and why
Contemporaneous: the information should be
documented at the correct time frame along with flow of
events
Enduring: Long lasting and durable
Accessible: Easily available for review.
6.
Documentation Process inthe Laboratory
• Document creation and approval
• Document use and data collection
• Document maintenance and verification
• Record Review
• Record Modification and Correction
• Record Archiving
• Record Destruction
7.
Common Documentation Errors
Missingsignature and dates at the time of activity
performed.
The write-over
Non-uniform date and signature entry
Writing a note that activity was performed on one day
and signed for on other day.
Blank spaces
Illegible writing
Too many corrections
8.
Principles of GoodDocumentation Practice
• A document bearing original signatures should never be
destroyed.
• Never falsify information
• Never White-out and cover-over-tapes
• Never demolish information or record
• Never over-write a record.
• Never use pencil – all information should be completed in
permanent Black or Blue ink
• No spaces, lines or fields are to be left blank
• Never use symbols e.g ditto marks or arrows to indicate
repetitive and consecutive
9.
Benefits of GoodDocumentation Practice
• Build confidence in the Laboratory Quality System
• Reduce efforts to compliance with regulatory bodies
• Allows for achievements of required results.
• Correct, complete, current and consistent information effectively
meets customers and stakeholders' requirements
• Enables the Laboratory activities to be arranged into functional
patterns for specific action.
• Create structures so that staff can systematically coordinate to
conduct business.
• Training of Laboratory staff.
• Solve complicated problems
• Reduce or eliminate assumptions and second-guessing.
10.
Benefits of GoodDocumentation Practice
• Eliminate the need to re-ask the same questions
• Specify clear instructions for staff