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Data Integrity. Charlie Appleby, U.S. EPA Region 4 SESD Quality Assurance Section. “There can be no friendship without confidence [trust], and no confidence [trust] without integrity.” Samuel Johnson “Transparency is the key to trust.” Steven Hill
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Data Integrity Charlie Appleby, U.S. EPA Region 4 SESD Quality Assurance Section
“There can be no friendship without confidence [trust], and no confidence [trust] without integrity.” Samuel Johnson “Transparency is the key to trust.” Steven Hill “Real integrity is doing the right thing, knowing that nobody’s going to know whether you did it or not.” Oprah Winfrey Integrity
Data with Integrity • Data of known and documented quality • Representative, Comparable and Complete • Defensible and Usable for its intended purpose, the first time. • Best Practices for the Detection and Deterrence of Laboratory Fraud, 1997
Data Integrity Requirements • Careful planning prior to sample collection • Coordination between stakeholders • Communication lines
Planning For Success • DQO Process • Decisions • Data Needs • Data Quality Requirements
Planning For Success • Take time to plan • Define the the project boundaries • Include all stakeholders in the entire process • Establish lines of communication providing essential information to all personnel involved in the project
Project Leader Project QA Contractor Support Management RSCC Laboratory Peer Reviewer QA Manager Data QualityNo Task for a One-Man Band
Coordination For Success • Between • Branches • Divisions • Agencies
Planning for Quality • Quality Management Plan • Quality Assurance Project Plan
Corporate Policies Reflect Values • Hiring practices - checking references • Ethics training • Data integrity training • Complete technical training • A quality system
In the future, employees will either be superstars or perspiration wipers. Those who aren’t qualified to do either will become managers. – Scott Adams
Ethics Policy • Conduct all business with integrity and in an ethical manner • Responsibility of each staff member and manager to hold to the highest ethical standard of professional conduct in the performance of all duties
Data Integrity Policy • To ensure work is of highest integrity • Employees responsible and accountable for the integrity and validity of their own work • Employees to respect and adhere to the principles of ethical conduct • Fabrication or falsification of work results are direct assaults on the integrity of the laboratory and will not be tolerated
Documenting the Quality System,The QA Manual • The Corporate Mission, Values & Vision • Organizational structure and responsibilities • Procedures for documenting lab ops • Sample receipt • Stds/reagent prep • Completing Training • Document control • Corrective action
The QA Manual (continued) • Data verification, approval, and reporting • Facility/data security • Emergency procedures • Corrective action policies and procedures • Index of SOPs • Reports to management
Cracks in the Quality System • Entropy – Newton?
Cracks in the Quality System • Lax documentation in sample receiving, • Poor hiring decisions, • Failure to complete or document training, • Lack of cross-training, • Missed SOP updates, internal audits,
Cracks in the Quality System • Lax peer review, • Poor document control, • Poor housekeeping, • Turnover, • Drop in data quality
Whither the Quality SystemVulnerabilities • Inappropriate practices • Lost business/revenue • Excessive turnover • Fraudulent activities
What is Laboratory Fraud? • Intentional misrepresentation of lab data to hide known or potential problems • Make data look better than it really is Dr. Bruce Woods
Potential Areas of Lab Fraud • Procedural Deceptions: • Not following critical steps of methodology • Short-cutting sample prep, calibration, analysis • Measurement Deceptions: • Directly altering results • Time and date, conditions of experiment
Examples of Procedural Fraud • Leaving out hydrolysis step in herbicide analysis to avoid hassle. • Not prepping the PE sample before analysis (direct injection). • Not digesting metal samples for analysis due to heavy workload
More Examples • Selectively background subtracting spectra from other peaks to make tuning criteria pass in GC/MS analysis. • Using calibration procedures that are not allowed by the required method.
Examples of Measurement Fraud • Deceptive GC Peak Integration • Time Travel • Dry Labbing
Preventing QA System PitfallsWhat can the lab do? • Independent QA Officer, • Ethics Policy, • Internal audits, • Certifications, • Managers who keep the vision fresh
Detecting QA System ProblemsWhat can EPA do? • Independent data validation, • Monitoring PT sample performance, • Data tape audits, • On-site laboratory audits • Announced • Unannounced • Follow-up audits
Preventing QA System Weaknesses • Contract language, • Clear QA/QC requirements, • Incentives / Disincentives • Pre-award audits, • Past performance assessment, • Performance Testing
Case Studies Let’s Test your Knowledge
Challenges for EPA Why do we need a vision for data integrity? “Though leaders in the middle may not always be the inventors of the vision, they are almost always its interpreters.” • John C. Maxwell We are what we repeatedly do. Excellence then is not an act, it is a habit. • Aristotle
Vision Statement Creation • First, identify the mission • Protect Human Health and the Environment • Identify values • science-based policies and programs • adherence to the rule of law • overwhelming transparency • Distill and refine
Elements of vision • Clarity • Connection of Past, Present, and Future • Purpose • Goals • Challenge • Stories • Passion
Vision Exercise • Imagine the ideal state • Identify needed skills/competencies • Evaluate strategy • Clarify the forces you will face • Be realistic
Data Integrity Starter Quiz Are you DI Savvy? Questions borrowed from SHOQ Quality Assurance Manuals Inc. ISO 17025 Culture Quiz
Management and technical personnel should have the necessary: A. Personnel B. Authority and resources C. Instrumentation
The laboratory’s quality system policies and objectives should be defined in a: A. Quality Policy Statement B. Quality Manual C. Standard Operating Procedure
Document control means: A. Ways to reduce paper B.Documents are identified, authorized, reviewed C. Give all documentation to supervisor
A laboratory is not responsible to the client for the work of a subcontractor A. True B. False
Records should be maintained of all client complaints and of: A. How angry the client was B. The investigations and corrective actions taken by the lab C. How loud the client complained D. To CYA in court
The procedure for corrective action must start with: A. Finger Pointing B. Risk Assessment C. An investigation to determine the root cause(s) of the problem D. A judicious application of CYA
Controlled records should be: A. Legible, readily retrievable, and in a suitable environment B. Designed for auditors C. Controlled by IT personnel
Internal audits are conducted to verify: A. Compliance of operations with quality system B. We won’t get caught again! C. The cost vs benefit of each test offered D. Compliance of operations with EPA requirements
Management reviews determine: A. Continuing suitability and effectiveness of the quality system B. That there will always be another Dilbert cartoon C. Employee requirements are met through 365 degree feedback
Training records are essential to: A. Writing Job Descriptions B. Accrediting the analyst C. Ensure competence and authorize personnel
Methods must be sufficiently validated as well as: A. Maximize profits B. Meet the needs of the client and appropriate for the test C. Easily implemented by the lab
Primary measurement standards must be traceable by means of an unbroken chain of calibrations or comparisons linking them to: A.The last standard entered in the log B. NTIS C. Check samples
Sampling generally happens prior to reception at a lab, and therefore has little affect on final results: A.True B. False
Three levels of data/peer review are necessary to: A.Keep the analysts feeling insecure B. Give the manager something to do C. Ensure the data are accurate, defensible, and meet the clients’ needs
Case Studies Let’s Test your Knowledge
Case Study 1 • An analyst is preparing a method blank associated with a batch of samples which will be digested for metals determinations. The analyst selects a specific beaker which he/she always uses to digest the blank because it seems to produce non-detect or very low results . This practice is: • Perfectly acceptable • A deceptive lab practice • An improper lab practice • None of the above • Both B & C