1
|
Abstract
Recent guidance documents from international regulators emphasize the importance of thoughtful trial design and risk-based oversight in delivering reliable results. In practice, these recommendations are often implemented in a fragmented manner, reducing their effectiveness. We argue that collaborative, cross-stakeholder engagement that prioritizes both optimal trial design and tailored oversight are a necessary and effective approach to modernize quality management. This practice is at the core of Quality by Design, an approach that involves identifying important errors that could undermine trial credibility or participant safety and addressing them proactively. While Quality by Design is well suited for clinical trials supporting regulatory approval of a new medicinal product, we describe how the approach is equally relevant for pragmatic trials, including those conducted in the context of a pandemic.
Collapse
|
2
|
Racicot M, Comeau G, Tremblay A, Quessy S, Cereno T, Charron-Langlois M, Venne D, Hébert G, Vaillancourt JP, Fravalo P, Ouckama R, Mitevski D, Guerin MT, Agunos A, DeWinter L, Catford A, Mackay A, Gaucher ML. Identification and selection of food safety-related risk factors to be included in the Canadian Food Inspection Agency's Establishment-based Risk Assessment model for Hatcheries. Zoonoses Public Health 2019; 67:14-24. [PMID: 31550078 DOI: 10.1111/zph.12650] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 08/14/2019] [Accepted: 08/25/2019] [Indexed: 02/01/2023]
Abstract
Towards the continuous improvement of its inspection system, the Canadian Food Inspection Agency (CFIA) is developing an Establishment-based Risk Assessment model for Hatcheries to allocate inspection resources based on the food safety risk associated with the Canadian hatcheries falling under its jurisdiction. The objectives of the current study were to identify and select critical food safety-related risk factors that would be included in this model, with a main focus on Salmonella. A literature review was used to develop a comprehensive list of risk factors that could potentially contribute to the food safety risk attributed to Canadian hatcheries operating in all production streams (breeders, layers, broilers, turkeys, waterfowl and game birds). The development of this list used a selection process that was conducted according to the availability of data sources, the clarity of definition and the measurability of the selected risk factors. A panel of experts reviewed and adjusted the identified risk factors. A final list of 29 risk factors was generated; 20 originated from the scientific literature and nine from the expert panel. Risk factors were grouped in three clusters according to whether they pertained to the inherent risk (nine factors identified), risk mitigation (nine factors identified) or compliance of a hatchery with its preventive control plan and regulatory requirements (11 factors identified). Criteria for assessing each risk factor were defined based on common practices used in the Canadian hatchery industry. This comprehensive list of risk factors and criteria represents useful information to support the design and implementation of a Canadian risk assessment model for hatcheries, but could also be used by like-minded food safety authorities.
Collapse
Affiliation(s)
- Manon Racicot
- Canadian Food Inspection Agency, St-Hyacinthe, QC, Canada
| | | | - Alexandre Tremblay
- Faculté de médecine vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada
| | - Sylvain Quessy
- Faculté de médecine vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada
| | | | | | | | | | | | - Philippe Fravalo
- Faculté de médecine vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada
| | | | | | - Michele T Guerin
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
| | - Agnes Agunos
- Public Health Agency of Canada, Guelph, ON, Canada
| | | | | | - Anna Mackay
- Canadian Food Inspection Agency, Ottawa, ON, Canada
| | - Marie-Lou Gaucher
- Faculté de médecine vétérinaire, Université de Montréal, St-Hyacinthe, QC, Canada
| |
Collapse
|