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Standard Operating Procedure:SOP Number:Management of Deviations, Breaches and Urgent Safety MeasuresUoANHSGSOP045Author:Version No:Date:127th March 2015(Patricia Burns, Research Governance Manager,
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How to fill out the management of deviations:

01
Identify the deviation: Begin by clearly identifying the deviation or issue that needs to be addressed. This could include any departures from standard procedures, processes, or guidelines.
02
Document the details: It is crucial to accurately document all pertinent information regarding the deviation. This includes the date, time, location, individuals involved, description of the deviation, and any supporting evidence or documents.
03
Assess the impact: Evaluate the potential impact or consequences of the deviation. Consider the severity, likelihood of recurrence, potential harm to individuals, impact on quality or safety, and any regulatory implications.
04
Determine the root cause: Investigate and determine the underlying causes of the deviation. This involves conducting a thorough analysis to identify any contributing factors or systemic issues that may have led to the deviation.
05
Develop corrective actions: Based on the root cause analysis, develop appropriate corrective actions to address the deviation effectively. These actions should be specific, measurable, achievable, relevant, and time-bound (SMART).
06
Assign responsibilities: Determine the individuals or teams responsible for implementing the corrective actions. Clearly communicate expectations, roles, and timelines to ensure accountability and facilitate timely resolution.
07
Track progress: Regularly monitor and track the progress of corrective actions. This helps to ensure their effective implementation and compliance.
08
Review and close-out: Once all corrective actions have been completed, conduct a comprehensive review to validate their effectiveness. Document the review findings and close-out the deviation management process.

Who needs management of deviations?

01
Organizations: All types of organizations, regardless of their size or industry, can benefit from implementing a robust deviation management system. This helps to prevent, identify, and address any deviations that may impact quality, productivity, safety, or compliance.
02
Quality and Regulatory Departments: Quality departments within organizations, as well as regulatory departments, play a crucial role in managing deviations. They oversee the documentation, investigation, and resolution of deviations, ensuring compliance with applicable regulations and standards.
03
Operational Managers: Operational managers, such as production managers, project managers, or department heads, are responsible for managing deviations within their respective areas. They collaborate with cross-functional teams to investigate deviations, implement corrective actions, and monitor progress.
04
Employees: All employees, regardless of their position, should be aware of and follow the deviation management procedures. They play a vital role in reporting any deviations they come across, ensuring a proactive and responsive approach to managing deviations.
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Management of deviations is the process of addressing and handling any deviations or discrepancies that occur in a particular system or process.
Anyone who identifies a deviation in a system or process is required to file management of deviations.
Management of deviations can be filled out by documenting the details of the deviation, its impact, root cause, and proposed corrective actions.
The purpose of management of deviations is to ensure that deviations are properly addressed, investigated, and corrected to prevent recurrence.
Information such as the details of the deviation, its impact, root cause analysis, corrective actions taken, and preventive actions to avoid reoccurrence.
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