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EDUcation: QUality Engineering, Science and Technology


EduQuest Advisory, November 2011, www.EduQuest.net


Understanding Objective Evidence:
(What It Is and What It Definitely Is Not)
By Denise Dion, Vice President of Regulatory and Quality Services, EduQuest
(18-year veteran of the U.S. FDA, former senior FDA investigator)                                       1

The following article first appeared in the Spring 2011 issue of the Journal of Validation Technology


    •   Learn what common industry practices don’t result in objective evidence
    •   Review business, scientific and legal definitions of objective evidence
    •   Understand the basic concepts behind the scientific method
    •   Review test protocols to ensure they result in true objective evidence
    •   Examine FDA expectations for objective evidence

As you likely know, computer system validation requires objective evidence –
evidence that proves the results of a particular system will be consistent throughout
its operating lifetime. But do you really understand what constitutes objective
evidence – from a scientific and a legal perspective, and of great importance to
those subject to regulatory inspections, from the perspective of the U.S. Food and
Drug Administration (FDA)?

What Objective Evidence is NOT

Let’s answer the question by first understanding what objective evidence is not.
The words “pass”, “fail”, “yes”, “no”, “as expected”, “true” and “false” are
not and never will be objective evidence. They are conclusions. Conclusions are
what you make based on what you believe the objective evidence shows.

Instead, objective evidence is what you observed, what actually happened, or
what did not happen. In science, we document objective data – as well as test
methods – so that others can perform the same tests and compare their results
(objective evidence) to ours. That’s the essence of objective evidence. With this
approach, others can objectively determine whether our conclusions are valid.




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EDUcation: QUality Engineering, Science and Technology



Useful Definitions from Different Perspectives

It may be helpful to see how different disciplines approach the concept of objective
evidence. Here are some example definitions of objective evidence from various
literature sources and perspectives:

• From a business perspective: Objective evidence is “information based on facts             2
that can be proved through analysis, measurement, observation, and other such
means of research.”

• From a legal perspective: Objective evidence is “real evidence, also known as
demonstrative or objective evidence; this is naturally the most direct evidence.”

• From a scientific perspective: “To be termed scientific, a method of inquiry
must be based on gathering observable, empirical, and measurable evidence
subject to specific principles of reasoning. A scientific method consists of the
collection of data through observation and experimentation, and the formulation
and testing of hypotheses.”

• From a list of Plain English definitions related to the ISO 9000, 9001 and
9004: Objective evidence is “data that show or prove that something exists or is
true. Objective evidence can be collected by performing observations,
measurements, tests, or by using any other suitable method.”

Basic Expectations of the Scientific Method

In science, we know procedures will vary from one field of inquiry to another.
There are, however, identifiable features that distinguish scientific inquiry from
other methods of knowledge. Scientists propose hypotheses as explanations of
phenomena, then design experiments to test those hypotheses. The methods
scientists use must be repeatable so that someone else, using the same
methods, can dependably predict future results. Theories may encompass wider
ranges of inquiry and may combine many hypotheses together in a coherent,
supportive whole. This consolidation in turn may help other scientists form new
hypotheses or place groups of hypotheses into context.

The processes used in scientific inquiry must be objective to reduce and preferably
eliminate biased interpretations of the results. Another basic expectation of the


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EDUcation: QUality Engineering, Science and Technology


scientific process is that you always document results, maintain the supporting
data, and share all data and methodology – thus allowing careful scrutiny by other
scientists. As a result, other scientists have the opportunity to verify results by
attempting to reproduce them. This practice is known as “full disclosure” and
allows scientists to establish statistical measures of the data’s reliability.
The scientific method can never absolutely prove the truth of any hypothesis. It can
only falsify the hypothesis. That’s what Einstein meant when he said, “No amount
of experimentation can ever prove me right; a single experiment can prove me
                                                                                             3
wrong.”

Review Your Test Protocols for Bias

It’s human nature to try to prove our own hypotheses are correct. But our beliefs
can alter our observations. We’re prone to what’s known as “the human
confirmation bias.” This bias is called a heuristic* – something that leads persons
with a particular belief to see things as reinforcing that belief, even if another
observer would disagree.

(*A heuristic is a rule of thumb, an educated guess, an intuitive judgment, or
simply common sense. A heuristic is a general way of solving a problem.)

To help eliminate this natural bias, science demands we test hypotheses by
attempting to disprove them. This approach isn’t always practical in industries
regulated by the FDA, but we still should try to remove all bias from our validation
efforts. A typical hypothesis for a computer system validation is “My installed
system for [whatever the function] will consistently, reliably, and reproducibly
produce data or perform as described in the requirements, given the defined
hardware, software, procedures, and personnel.” Our validation protocols likely are
written to help prove the validity of this statement.

But the way we write those protocols will determine how much and what kind of
objective data we get. Providing the expected results up front (beforehand) to
the tester is not the optimum method to obtain true objective evidence. Yes,
we as validation professionals need to know the expected results (acceptance
criteria), but remember it’s the reviewer of the objective evidence – not the tester –
who must know those criteria. Otherwise, the human confirmation bias of the tester
may prevail and dilute your confidence in the objectivity of test results.




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EDUcation: QUality Engineering, Science and Technology


Review Your Test Protocols for Efficiency

Often protocols are written to provide objective data at each step in the protocol.
Because of this, we often see protocols that look like those in the Table below:

Table 1: Validation Protocols

Step #    Process Step              Expected Result      Actual Result     Pass/Fail         4
1.        Turn on computer          Turns on             As expected       Pass
2.        Log-in                    Allows log-in        As expected       Pass
3.        Main menu displays        Main menu            As expected       Pass
                                    displays

In this example, what matters is that the Main menu displays after the appropriate
log-in. The fact that the system will turn on and allow the tester to log-in is
supported by the fact that the Main menu displays. Obviously, the Main menu
won’t display if the computer doesn’t boot up and allow the tester to log-in. So in
this case, the objective data only need to be obtained at Step #3. A screen print at
that point provides objective data that shows Steps #1 through #3 have been
executed correctly.

Of course, there may be multiple steps in any given test protocol. But you may find
data generated or displayed at those various steps proves a wider portion of the
system is performing as designed. So you can be more efficient in developing
objective evidence by documenting only the data that truly reflects the system will
function as designed or intended.

FDA Requirements for Objective Evidence

FDA is a science-based law enforcement agency and, therefore, requires answers
that are scientifically and legally supported. FDA expects your objective data to
answer the following questions:

   • Scientific – Can the data be evaluated by independent observers to reach
     the same conclusions?
   • Scientific – Are the data documented in a manner that allows re-creation of
     the data or the events described?
   • Scientific – Does the documented evidence provide sufficient data to prove
     what happened, when, by whom, how, and why?

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EDUcation: QUality Engineering, Science and Technology


   • Legal – Was the documentation completed concurrently with the tasks?
   • Legal – Is the documentation attributable (directly traceable to a person)?
   • Legal – Have the data and associated documentation been maintained in a
     manner that provides traceable evidence of changes, deletions, additions,
     substitutions, or alterations?
   • Legal – Are the data and associated documentation maintained in a manner
     that protects and secures them from changes, deletions, additions,
     substitutions, or alterations?                                                          5

Additional FDA Expectations

FDA also expects you to follow good documentation practices. That means your
data must be clear, legible, indelible, and documented concurrently. FDA expects
your documents and records to be complete, dated, signed, reviewed, and approved
(if applicable). Furthermore, the Agency expects you to maintain regulated
documents and records in formal, approved document management systems.

FDA investigators will look for evidence of data changes. So you should note any
written changes using a single cross-out, with appropriate date and initials. If your
data is in electronic format, FDA will look for a clear audit trail traceable from all
fields. For good laboratory practices, FDA also will expect you to include the
reason(s) for any change.

Trust is the Ultimate Objective of Objective Evidence

To satisfy FDA, start with a clear definition of how your company will establish
and review objective evidence in all of its testing procedures. Make sure your
objective evidence is based on what actually happened – including what the tester
actually observed – during testing. Avoid subjective conclusions such as “Yes/No”
and “Pass/Fail” and try to minimize the opportunity for human confirmation bias.

Develop and apply a scientific-based approach to your validation efforts to ensure
consistent results. In addition, satisfy the legal expectations for objective evidence
by establishing and maintaining a trail of data integrity throughout all your
regulated systems and throughout their lifecycles.

In the end, the goal is trust – trust in your validation efforts by your system users,
by your customers, and of course by the FDA. With scientifically and legally
sound objective evidence, you’ll be confident others will be able to trust your data,

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EDUcation: QUality Engineering, Science and Technology


its origins and documentation, and the ultimate results of your systems.

Do have questions or feedback about this Advisory? Email us at
Info@EduQuest.net.

About the Author

                                                                                             6




Denise Dion is the Vice President of Regulatory and Quality Services with
EduQuest, a global team of FDA compliance experts headquartered near
Washington, DC. She spent 18 years of her career with the FDA, where she served
as an Office of Regulatory Affairs (ORA) headquarters’ authority on agency-wide
inspections and investigations. She developed many of FDA’s inspection guidance
and training materials, including serving as the primary editor of the Investigations
Operations Manual (IOM). She also was one of the authors and trainers of FDA’s
Quality System Inspection Technique (QSIT).

For her EduQuest clients, Denise provides regulatory guidance and regularly
conducts facility audits to assess compliance with drug, medical device and
biologics regulations. She also develops and delivers inspection preparedness
training. She is a lead instructor for four of EduQuest’s most popular training
courses:

   • Quality Systems Regulation Compliance Basics
   • Design Control for Medical Devices: Meeting FDA’s 21 CFR 820.30
     Rules for Quality Design and Manufacturing


  1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
EDUcation: QUality Engineering, Science and Technology


   • The CAPA Clinic: Effective CAPA Systems and Failure Investigations
   • FDA Auditing of Computerized Systems and Part 11

These courses are offered as open enrollment programs several times each year
throughout the U.S. and Europe. They also are available for on-site, on-demand
delivery. For course details, email Info@EduQuest.net.

About EduQuest                                                                               7

EduQuest is a global team of FDA compliance experts. Regulated companies
throughout the world seek EduQuest’s advice and hands-on expertise in quality
systems, system validation, inspection preparedness, supplier auditing, and GxP
compliance.

Headquartered near Washington, D.C., EduQuest was founded in 1995 by three
former senior FDA officials, including Martin Browning, the co-author of the
21CFR Part 11 Regulations for Electronic Records and Signatures. The EduQuest
staff – located throughout the U.S. and Europe – includes full-time consultants and
experienced trainers with a combined 160 years of experience in industry and
another 127 years of experience at the FDA.

EduQuest provides free monthly FDA compliance tips with its EduQuest-ions &
Answers e-newsletter service. Sign up for the e-newsletter here or visit
www.EduQuest.net for details.




  1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net

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What is Objective Evidence? - EduQuest FDA Compliance Advisory

  • 1. EDUcation: QUality Engineering, Science and Technology EduQuest Advisory, November 2011, www.EduQuest.net Understanding Objective Evidence: (What It Is and What It Definitely Is Not) By Denise Dion, Vice President of Regulatory and Quality Services, EduQuest (18-year veteran of the U.S. FDA, former senior FDA investigator) 1 The following article first appeared in the Spring 2011 issue of the Journal of Validation Technology • Learn what common industry practices don’t result in objective evidence • Review business, scientific and legal definitions of objective evidence • Understand the basic concepts behind the scientific method • Review test protocols to ensure they result in true objective evidence • Examine FDA expectations for objective evidence As you likely know, computer system validation requires objective evidence – evidence that proves the results of a particular system will be consistent throughout its operating lifetime. But do you really understand what constitutes objective evidence – from a scientific and a legal perspective, and of great importance to those subject to regulatory inspections, from the perspective of the U.S. Food and Drug Administration (FDA)? What Objective Evidence is NOT Let’s answer the question by first understanding what objective evidence is not. The words “pass”, “fail”, “yes”, “no”, “as expected”, “true” and “false” are not and never will be objective evidence. They are conclusions. Conclusions are what you make based on what you believe the objective evidence shows. Instead, objective evidence is what you observed, what actually happened, or what did not happen. In science, we document objective data – as well as test methods – so that others can perform the same tests and compare their results (objective evidence) to ours. That’s the essence of objective evidence. With this approach, others can objectively determine whether our conclusions are valid. 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 2. EDUcation: QUality Engineering, Science and Technology Useful Definitions from Different Perspectives It may be helpful to see how different disciplines approach the concept of objective evidence. Here are some example definitions of objective evidence from various literature sources and perspectives: • From a business perspective: Objective evidence is “information based on facts 2 that can be proved through analysis, measurement, observation, and other such means of research.” • From a legal perspective: Objective evidence is “real evidence, also known as demonstrative or objective evidence; this is naturally the most direct evidence.” • From a scientific perspective: “To be termed scientific, a method of inquiry must be based on gathering observable, empirical, and measurable evidence subject to specific principles of reasoning. A scientific method consists of the collection of data through observation and experimentation, and the formulation and testing of hypotheses.” • From a list of Plain English definitions related to the ISO 9000, 9001 and 9004: Objective evidence is “data that show or prove that something exists or is true. Objective evidence can be collected by performing observations, measurements, tests, or by using any other suitable method.” Basic Expectations of the Scientific Method In science, we know procedures will vary from one field of inquiry to another. There are, however, identifiable features that distinguish scientific inquiry from other methods of knowledge. Scientists propose hypotheses as explanations of phenomena, then design experiments to test those hypotheses. The methods scientists use must be repeatable so that someone else, using the same methods, can dependably predict future results. Theories may encompass wider ranges of inquiry and may combine many hypotheses together in a coherent, supportive whole. This consolidation in turn may help other scientists form new hypotheses or place groups of hypotheses into context. The processes used in scientific inquiry must be objective to reduce and preferably eliminate biased interpretations of the results. Another basic expectation of the 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 3. EDUcation: QUality Engineering, Science and Technology scientific process is that you always document results, maintain the supporting data, and share all data and methodology – thus allowing careful scrutiny by other scientists. As a result, other scientists have the opportunity to verify results by attempting to reproduce them. This practice is known as “full disclosure” and allows scientists to establish statistical measures of the data’s reliability. The scientific method can never absolutely prove the truth of any hypothesis. It can only falsify the hypothesis. That’s what Einstein meant when he said, “No amount of experimentation can ever prove me right; a single experiment can prove me 3 wrong.” Review Your Test Protocols for Bias It’s human nature to try to prove our own hypotheses are correct. But our beliefs can alter our observations. We’re prone to what’s known as “the human confirmation bias.” This bias is called a heuristic* – something that leads persons with a particular belief to see things as reinforcing that belief, even if another observer would disagree. (*A heuristic is a rule of thumb, an educated guess, an intuitive judgment, or simply common sense. A heuristic is a general way of solving a problem.) To help eliminate this natural bias, science demands we test hypotheses by attempting to disprove them. This approach isn’t always practical in industries regulated by the FDA, but we still should try to remove all bias from our validation efforts. A typical hypothesis for a computer system validation is “My installed system for [whatever the function] will consistently, reliably, and reproducibly produce data or perform as described in the requirements, given the defined hardware, software, procedures, and personnel.” Our validation protocols likely are written to help prove the validity of this statement. But the way we write those protocols will determine how much and what kind of objective data we get. Providing the expected results up front (beforehand) to the tester is not the optimum method to obtain true objective evidence. Yes, we as validation professionals need to know the expected results (acceptance criteria), but remember it’s the reviewer of the objective evidence – not the tester – who must know those criteria. Otherwise, the human confirmation bias of the tester may prevail and dilute your confidence in the objectivity of test results. 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 4. EDUcation: QUality Engineering, Science and Technology Review Your Test Protocols for Efficiency Often protocols are written to provide objective data at each step in the protocol. Because of this, we often see protocols that look like those in the Table below: Table 1: Validation Protocols Step # Process Step Expected Result Actual Result Pass/Fail 4 1. Turn on computer Turns on As expected Pass 2. Log-in Allows log-in As expected Pass 3. Main menu displays Main menu As expected Pass displays In this example, what matters is that the Main menu displays after the appropriate log-in. The fact that the system will turn on and allow the tester to log-in is supported by the fact that the Main menu displays. Obviously, the Main menu won’t display if the computer doesn’t boot up and allow the tester to log-in. So in this case, the objective data only need to be obtained at Step #3. A screen print at that point provides objective data that shows Steps #1 through #3 have been executed correctly. Of course, there may be multiple steps in any given test protocol. But you may find data generated or displayed at those various steps proves a wider portion of the system is performing as designed. So you can be more efficient in developing objective evidence by documenting only the data that truly reflects the system will function as designed or intended. FDA Requirements for Objective Evidence FDA is a science-based law enforcement agency and, therefore, requires answers that are scientifically and legally supported. FDA expects your objective data to answer the following questions: • Scientific – Can the data be evaluated by independent observers to reach the same conclusions? • Scientific – Are the data documented in a manner that allows re-creation of the data or the events described? • Scientific – Does the documented evidence provide sufficient data to prove what happened, when, by whom, how, and why? 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 5. EDUcation: QUality Engineering, Science and Technology • Legal – Was the documentation completed concurrently with the tasks? • Legal – Is the documentation attributable (directly traceable to a person)? • Legal – Have the data and associated documentation been maintained in a manner that provides traceable evidence of changes, deletions, additions, substitutions, or alterations? • Legal – Are the data and associated documentation maintained in a manner that protects and secures them from changes, deletions, additions, substitutions, or alterations? 5 Additional FDA Expectations FDA also expects you to follow good documentation practices. That means your data must be clear, legible, indelible, and documented concurrently. FDA expects your documents and records to be complete, dated, signed, reviewed, and approved (if applicable). Furthermore, the Agency expects you to maintain regulated documents and records in formal, approved document management systems. FDA investigators will look for evidence of data changes. So you should note any written changes using a single cross-out, with appropriate date and initials. If your data is in electronic format, FDA will look for a clear audit trail traceable from all fields. For good laboratory practices, FDA also will expect you to include the reason(s) for any change. Trust is the Ultimate Objective of Objective Evidence To satisfy FDA, start with a clear definition of how your company will establish and review objective evidence in all of its testing procedures. Make sure your objective evidence is based on what actually happened – including what the tester actually observed – during testing. Avoid subjective conclusions such as “Yes/No” and “Pass/Fail” and try to minimize the opportunity for human confirmation bias. Develop and apply a scientific-based approach to your validation efforts to ensure consistent results. In addition, satisfy the legal expectations for objective evidence by establishing and maintaining a trail of data integrity throughout all your regulated systems and throughout their lifecycles. In the end, the goal is trust – trust in your validation efforts by your system users, by your customers, and of course by the FDA. With scientifically and legally sound objective evidence, you’ll be confident others will be able to trust your data, 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 6. EDUcation: QUality Engineering, Science and Technology its origins and documentation, and the ultimate results of your systems. Do have questions or feedback about this Advisory? Email us at Info@EduQuest.net. About the Author 6 Denise Dion is the Vice President of Regulatory and Quality Services with EduQuest, a global team of FDA compliance experts headquartered near Washington, DC. She spent 18 years of her career with the FDA, where she served as an Office of Regulatory Affairs (ORA) headquarters’ authority on agency-wide inspections and investigations. She developed many of FDA’s inspection guidance and training materials, including serving as the primary editor of the Investigations Operations Manual (IOM). She also was one of the authors and trainers of FDA’s Quality System Inspection Technique (QSIT). For her EduQuest clients, Denise provides regulatory guidance and regularly conducts facility audits to assess compliance with drug, medical device and biologics regulations. She also develops and delivers inspection preparedness training. She is a lead instructor for four of EduQuest’s most popular training courses: • Quality Systems Regulation Compliance Basics • Design Control for Medical Devices: Meeting FDA’s 21 CFR 820.30 Rules for Quality Design and Manufacturing 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net
  • 7. EDUcation: QUality Engineering, Science and Technology • The CAPA Clinic: Effective CAPA Systems and Failure Investigations • FDA Auditing of Computerized Systems and Part 11 These courses are offered as open enrollment programs several times each year throughout the U.S. and Europe. They also are available for on-site, on-demand delivery. For course details, email Info@EduQuest.net. About EduQuest 7 EduQuest is a global team of FDA compliance experts. Regulated companies throughout the world seek EduQuest’s advice and hands-on expertise in quality systems, system validation, inspection preparedness, supplier auditing, and GxP compliance. Headquartered near Washington, D.C., EduQuest was founded in 1995 by three former senior FDA officials, including Martin Browning, the co-author of the 21CFR Part 11 Regulations for Electronic Records and Signatures. The EduQuest staff – located throughout the U.S. and Europe – includes full-time consultants and experienced trainers with a combined 160 years of experience in industry and another 127 years of experience at the FDA. EduQuest provides free monthly FDA compliance tips with its EduQuest-ions & Answers e-newsletter service. Sign up for the e-newsletter here or visit www.EduQuest.net for details. 1896 Urbana Pike, Suite 14, Hyattstown, MD 20871 USA, Ph: 301-874-6031, www.eduquest.net