Wednesday 16 October 2024

Laboratory document management

Lab Document Management: Definition, Types, Requirements

by Bruna De Lucca Caetano | Oct 11, 2024 | 

Laboratory document management is the process of managing and overseeing documents used within a laboratory. Laboratory document management helps ensure that documentation is readily available, properly distributed, and securely stored.

To handle documents, laboratories implement document management and document control. Document management and document control are two different but related aspects of handling documentation in a company. Document control is a part of document management.

Laboratory document control is the systematic process of controlling documentation through its lifecycle. Laboratory document control includes document security, version control, review, approval, and submission of documents.

Laboratories utilize various types of documents and records. Some common types of documents include the quality manual, standard operating procedures (SOPs), and personnel files. Types of records include laboratory test records, training records, and equipment maintenance and calibration records, among others.

Several standards and regulations outline requirements for laboratory documentation, including ISO 15189:2022, ISO/IEC 17025:2017, and 42 CFR Part 493, among others

Laboratories can implement document management systems to streamline the document management process. Laboratory document management software streamlines the management of documents by providing predefined workflows for processes such as the creation, review, and approval of documents.

SimplerQMS offers QMS software for life science companies, including laboratories, with robust document management capabilities. Book a personalized demo to experience how SimplerQMS can streamline your document management process. 


Explore the specific topics covered in this article:


What Is Laboratory Document Management?

What Is Laboratory Document Control?

What Is the Difference Between Document Management and Document Control in the Laboratory?

Why Is Documentation Important in Laboratories?

What Are the Types of Laboratory Documents?

What Are the Types of Laboratory Records?

What Are the Key Procedures for Laboratory Document Management?

Which Standards and Regulations Specify Requirements for Laboratory Documents and Records?

What Are the Overall Requirements for Laboratory Document Management?

How Does a Laboratory Document Management System Work?

What Is the Role of Laboratory Document Management Software?

What Is Laboratory Document Management?

Laboratory document management is the process of managing laboratory documentation, from creation to disposal. Laboratory document management focuses on the overall process of storing, managing, and distributing documents.

Laboratory document management is a requirement in several regulations, standards, and guidelines, such as ISO/IEC 17025:2017, ISO 15189:2022, and 42 CFR Part 493, among others.

Effective laboratory document management is critical for maintaining data integrity, traceability, and compliance.

What Is Laboratory Document Control?

Laboratory document control is the systematic process of controlling laboratory documents and records throughout their lifecycle. Document control involves documentation review, approval, tracking, submission, and versioning.

Laboratory document control is important to ensure laboratories use only the most recent version of documents. Laboratory document control ensures everyone follows the most recent procedures and supports compliance with relevant requirements.

What Is the Difference Between Document Management and Document Control in the Laboratory?

The difference between document management and document control in the laboratory lies in their specific focus.

Laboratory document management involves storing, managing, and distributing documentation. Document management ensures employees can easily create, find, and share the latest document version.

Document control in laboratories controls the review, approval, tracking, and versioning of controlled documents. Laboratory document control ensures that only the most recent approved document versions are accessible while outdated ones are archived.

Document management and document control are interconnected and essential for laboratory operations. Controlled documents are managed, but not all managed documents are controlled. Document control is part of document management, and controlled documents cannot exist without document management practices.

Why Is Documentation Important in Laboratories?

Documentation in laboratories is essential for ensuring the accuracy, traceability, and reproducibility of laboratory results. Documentation provides a record of procedures, data, and observations, supporting effective communication, and ensuring compliance.

Proper documentation helps in the identification of nonconformance or deviations and the implementation of corrective and preventive actions. Documentation in laboratories supports companies in demonstrating compliance with relevant requirements, such as ISO/IEC 17025:2017, ISO 15189:2022, and 42 CFR Part 493, among others.

Documentation supports data integrity by preventing errors, facilitating audits, and providing evidence of adherence to SOPs and protocols, thereby enhancing reliability and credibility. Moreover, thorough documentation allows for effective knowledge transfer, continuity of operations, and continuous improvement.

Documentation forms the backbone of a laboratory’s quality system, promoting accountability and fostering a culture of excellence and compliance.

What Are the Types of Laboratory Documents?

A document is a written, printed, or digital file that provides information or instructions. A laboratory document is a written or digital file that outlines procedures, protocols, guidelines, or other information used in laboratory operations.


Below are some examples of types of laboratory documents.


Quality Manual

Standard Operating Procedures (SOPs)

Work Instruction

Method

Personnel Files

Equipment Manual

Safety Data Sheets (SDS)

Supplier Qualification

Proficiency Testing Plan

Inventory Control Documents

Certificate of Analysis (CoA)

Risk Assessment Form

Sample Submission Form

Laboratory document list

Quality Manual

A Quality Manual is a document that outlines the quality management system. The quality manual serves as a guide for ensuring consistency and compliance with requirements throughout the laboratory.


Standard Operating Procedures (SOPs)

SOPs are detailed documents that describe step-by-step actions for operations to ensure they are performed consistently and correctly. SOPs help maintain accuracy, reliability, and efficiency in laboratory operations.


Work Instruction

A work instruction is a document that provides precise, detailed instructions on how to perform specific tasks. Work instructions in the laboratory ensure that tasks are completed correctly and consistently, minimizing errors and increasing the reliability of results.


Method

A document that describes how a specific analytical technique is carried out. Methods are similar to work instruction but focused on a particular testing method. Methods are used in laboratories to ensure consistency, accuracy, and reliability in testing and experiments.


Personnel Files

Personnel files are documents that contain information on employees, including their training, qualifications, and performance evaluations. Personnel files are used in the laboratory to manage employees’ competence, ensure compliance with training requirements, and support Human Resource (HR) activities.


Equipment Manual

The equipment manuals are documents that include operating instructions and maintenance guidelines for equipment. Laboratory equipment manuals ensure that equipment is used properly and maintained to prevent failures and ensure reliable performance.


Safety Data Sheets (SDS)

Safety data sheets (SDS) documents provide detailed information on hazardous chemicals, including handling, storage, and emergency procedures. SDSs are essential for ensuring laboratory safety and regulatory compliance when dealing with hazardous materials.


Supplier Qualification

Supplier qualification documents detail the qualification and approval process for suppliers to ensure they meet the quality specifications and relevant requirements. Supplier qualification documents help laboratories ensure that materials and services received from suppliers are trustworthy, compliant with regulatory requirements, and meet the specifications.


Proficiency Testing Plan

A proficiency testing plan is a document that outlines the schedule and procedures for conducting proficiency tests to evaluate the accuracy and reliability of laboratory results. Proficiency testing plans are used to ensure ongoing competence and compliance.


Inventory Control Documents

Inventory control documents track and manage laboratory supplies, reagents, and materials to maintain traceability to suppliers, stock levels, and proper storage. Inventory control documents help track vendors, prevent shortages or overstocking, and ensure the availability of essential materials.


Certificate of Analysis (CoA)

A Certificate of Analysis (CoA) is a document provided by the manufacturer or supplier that certifies the quality and specifications of a product or material based on testing. CoA documents can be used in laboratories to verify that materials comply with required specifications and requirements before they are used in laboratory processes.


Risk Assessment Form

A risk assessment form is a document that identifies and evaluates potential risks associated with processes, procedures, equipment, or materials. Risk assessment forms help laboratories in developing strategies to mitigate risks and ensure safety and compliance.


What Are the Types of Laboratory Records?

A record is a document that provides evidence of activities, decisions, or events. A laboratory record is a document that captures evidence of laboratory activities, procedures, observations, or results.


Below are some examples of types of laboratory records.


Laboratory Test Records

Training Records

Equipment Calibration Records

Equipment Maintenance Logs

Equipment Cleaning Records

Sample Receipt and Log

Waste Disposal Records

Incident Reports

Audit Reports

Quality Control (QC) Records

Environmental Monitoring Records

Laboratory record list

Laboratory Test Records

Laboratory test records detail the complete data from all tests conducted in the laboratory. Laboratory test records are used to document test results and provide evidence for validation and compliance.


Training Records

Training records are documented proof that an individual has completed the required training for their role. In laboratories, training records help ensure that personnel are qualified to perform specific tasks, which supports compliance with regulatory requirements and maintains the accuracy and reliability of test results.


Equipment Calibration Records

Equipment calibration records provide evidence that equipment has been calibrated according to established standards. In laboratories, equipment calibration records ensure that equipment functions accurately, which is essential for reliable results, regulatory compliance, and maintaining the integrity of scientific data.


Equipment Maintenance Logs

Equipment maintenance logs are records that document all maintenance activities performed on equipment, including preventative maintenance, cleaning, disinfection, and the replacement of parts. Equipment maintenance logs are used in laboratories to help ensure that equipment remains in optimal working condition.


Equipment Cleaning Records

Equipment cleaning records demonstrate the cleaning, disinfection, or sterilization of equipment. In laboratories, equipment cleaning records are used to help prevent contamination and ensure equipment is ready for use.


Sample Receipt and Log

Sample receipts and logs are records that track the receiving, identification, storage conditions, and portions used for test methods of samples submitted for testing. Sample receipts and logs ensure laboratories can track and manage samples from receipt through testing, avoiding sample mix-ups between different patients.

Waste Disposal Records

Waste disposal records demonstrate the disposal of waste, including contaminated biological samples, residual chemicals, gloves, and needles. Waste disposal records help laboratories ensure compliance with waste requirements, identify responsible vendors, and maintain a safe and clean laboratory environment.


Incident Reports

Incident reports are records of accidents, nonconformances, or deviations, such as chemical spills or equipment failures. Incident reports are used in laboratories to analyze non-compliance with procedures, helping identify root causes and implement corrective and preventive actions.

Audit Reports

Audit reports are documents that summarize the findings, observations, and recommendations from an audit. Audit reports are used in laboratories to assess compliance with internal, customer, and regulatory requirements, identify areas for improvement, and ensure that quality management systems are effective.

Quality Control (QC) Records

Quality Control (QC) records are documents that capture the results of quality control tests performed to ensure that laboratory operations comply with specifications and requirements. In laboratories, QC records verify that all tests and procedures are consistently producing accurate and reliable results, helping ensure the validity and integrity of the data generated.

Environmental Monitoring Records

Environmental monitoring records demonstrate data related to environmental conditions, such as temperature, humidity, and contamination levels. Environmental monitoring records help ensure that the laboratory environment is controlled and complies with specifications and relevant requirements.

What Is the Difference Between Documents and Records in the Laboratory?

The difference between documents and records in a laboratory lies in their purpose and need for updates.

Laboratory documents provide updated information about the laboratory and its processes. Laboratory documents need to be regularly updated to ensure they remain accurate, relevant, and compliant with internal, customer, and regulatory requirements.

Laboratory records are proof of actions taken and the results obtained. Laboratory records keep historical data that remains unchanged and are stored for future reference and compliance purposes.

Laboratory documents compared to laboratory records

What Are the Key Procedures for Laboratory Document Management?

A procedure is a documented description of a series of actions outlining how a specific task or process should be performed to ensure consistency and compliance with established standards.

Below are examples of laboratory document management procedures, including document distribution, retention, and disposal, along with laboratory document control procedures, such as document versioning, approval, and access. All these individual procedures are part of a comprehensive document and records management procedure.

Procedure for Document Versioning: A document versioning procedure, part of document control, ensures that every time a document is created, updated, or changed, a new version is created, labeled, and tracked.

Procedure for Document Access: A document access procedure, part of document control, controls who can view or edit specific documents.

Procedure for Document Review: A document review procedure, part of document control, outlines how and when documents should be reviewed to ensure they are accurate, relevant, and current.

Procedure for Document Approval: A document approval procedure, part of document control, details the steps for getting documents formally approved by authorized personnel before they are released and used.

Procedure for Document Distribution: A document distribution procedure, part of document management, ensures that the most recent version of a document is distributed to the appropriate personnel or departments.

Procedure for Document Archiving and Storage: A procedure for document archiving and storage, part of document management, details how and where documents are stored.

Procedure for Document Retention and Disposal: A document retention and disposal procedure, part of document management, outlines the period documents are retained and how they are securely disposed of when no longer needed.

Procedure for Control of External Documents: A procedure for controlling external documents, part of document management, details the management of documents received from external sources, ensuring they are controlled and integrated into the company’s document management system.

Which Standards and Regulations Specify Requirements for Laboratory Documents and Records?

The requirements for laboratory documents and records are specified by various standards and regulations.

Below is a list of key standards and regulations that specify the requirements for laboratory documentation.

ISO/IEC 17025:2017 (Requirements for the Competence of Testing and Calibration Laboratories)

ISO 15189:2022 (Requirements for Quality and Competence of Medical Laboratories)

ISO 22367:2020 (Application of Risk Management to Medical Laboratories)

ISO 9001:2015 (Requirements for Quality Management Systems)

ISO/IEC 17043:2023 (General Requirements for the Competence of Proficiency Testing Providers)

ISO 35001:2019 (Biorisk Management for Laboratories and Other Related Organizations)

21 CFR Part 58 (Good Laboratory Practice for Nonclinical Laboratory Studies)

29 CFR Part 1910 (Occupational Safety and Health Standards)

42 CFR Part 493 (Clinical Laboratory Improvement Amendments (CLIA))

NOTE

Please be aware that the information provided here is for educational purposes only. Companies must always refer to the official information provided by regulatory authorities to ensure compliance.

ISO/IEC 17025:2017

ISO/IEC 17025:2017 is an international standard that specifies the general requirements for the competence of testing and calibration laboratories.

Section 8.2 on document management outlines that laboratories must establish and maintain clear documentation, ensuring access to relevant personnel.

Section 8.3 requires documents to be properly approved, regularly reviewed, updated as needed, and controlled to avoid using outdated versions. Section 8.4 on control of records specifies that laboratories must create, manage, and retain legible records while implementing effective controls for their identification, storage, and retrieval.

ISO 15189:2022

ISO 15189:2022 is an international standard that specifies requirements for the quality and competence of medical laboratories.

Regarding requirements for managing laboratory documents, ISO 15189:2022 outlines in Section 8.2 that laboratories must establish and maintain documented objectives and policies that ensure quality and competence. Documentation must be accessible to relevant personnel.

Section 8.3 requires laboratories to control documents by ensuring they are properly identified, reviewed, updated, and protected and that obsolete documents are managed to prevent misuse.

Section 8.4 on control of records specifies that laboratories must create, retain, and protect records to demonstrate compliance. Records need to be legible, securely stored, and accessible for the required reten

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