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qms_version 2.2.0
sop_id CSC PR.002
sop_version 2.0.1
template_id CSC F.012
template_version 2.0.2
record_version
record_id CSCR-001
title Clinical Safety Case Report

Clinical Safety Case Report

General

Template ID CSC F.012
Template Version 2.0.1
QMS Version 2.2.0
SOP ID CSC PR.002
SOP Version 2.0.1
Regulatory References ISO14791
DCB0129
DCB0160
Author
Approval

Document Management

Revision History

Version Date Author Summary of Changes
0.1.0 01/01/2000 First Draft

Reviewers

Review Name Title/Responsibility
Head of CSC /Clinical Safety Officer

Approval

Review Name Title/Responsibility Date Version

Related Documents

Document Reference Number Title Version Status

Purpose

This document reports the implementation, results and effectiveness of the clinical risk management activities outline in the clinical risk management plan.

Scope

This document applies to {{device.name}} {{device.version}}.

Out of Scope

This CSCR does not cover use or trials outside of GSTT CSC MLOps and AIDE environment or performed by other teams and institutions.

Roles and Responsibilities

Role Responsibilities
Clinical Safety Officer
Clinical Lead
Development Lead

Definitions

Term Definition
SRS Software Requirements Spec
SDS Software Design Spec
CSCR Clinical Safety CAse Report
CRMP Clinical Risk Management Plans
SWIFT Structure What If

Executive Statement

Summary of the Clinical Safety Case Report findings and outcomes. This may include the purpose of the report, clinical context, summary of high value risks identified and their mitigations and any key findings and conclusions. This section should not go into detail but provide an overall summary of the report.

Initial Residual Risk Rating Definition
5 Unacceptable level of risk. Mandatory elimination or control to reduce risk to an acceptable level
4 Unacceptable level of risk. Mandatory elimination or control to reduce risk to an acceptable level
3 Undesirable level of risk. Attempts should be made to eliminate or control to reduce risk to an acceptable level. Shall only be acceptable when further risk reduction is impractical.
2 Acceptable where cost of further reduction outweighs benefits gained.
1 Acceptable, no further action required

Introduction

Purpose of the Clinical Safety Case Report and phase of lifecycle it relates to.

System Definition / Overview

Description of the Health IT System; identification of Health IT System part and version number; description of the clinical environment it is to be used in; description of any existing systems it replaces or interfaces with; number of users and patients.

Clinical Risk Management System

Description of the Manufacturer’s clinical risk management system; identification of key personnel, their roles and responsibilities; identification of clinical risk management governance structure.

The clinical risk management system is described in the Clinical Risk Management Plan document, which follows DBC0129 [1]. The clinical safety case has been developed in accordance with the CSC QMS [2].

Clinical safety activities have been undertaken by the CSC team under the supervision and with collaboration with the CSO. Persons responsible for this process are listed at the start of this CSCR.

Medical Device Declaration

The {{device.name}} application has a Class {{device.mhra_class}} MHRA classification.

Guidance for MHRA classification

Clinical Risk Analysis

Hazard identification; description of patient safety consequences; explanation of hazard causes and contributory conditions; identification of existing mitigating controls; estimation of clinical risk; identification of participating personnel.

Risk analysis methods are explained in the Clinical Risk Management Plan.

Hazard identification, risk evaluation and risk control meetings were conducted with key stakeholders throughout the design and development stages.

Clinical Risk Evaluation

Evaluation of initial level of risk of each identified hazard using pre-defined criteria.

Risks are evaluated against the severity and likelihood scales in appendix 1, taken from DCB 0129.

Clinical Risk Control

Identification, justification, implementation and verification of adequate risk controls; residual clinical risk evaluation and completion of controls.

The risk controls identified against causes for risks which are evaluated as un-acceptable in the risk acceptability chart in Appendix 2.

Hazard Log

The hazard log is available at release/hazard_log.md

Test Issues

Summary of any outstanding test issues and the impact on clinical safety.

Summary Safety Statement

Statement from the Clinical Safety Officer summarising the safety position of the Health IT System in the context of the intended deployment.

Quality Assurance and Document Approval

Evidence of appropriate quality, review and approval regimes.

Configuration Control / Management

Evidence of appropriate configuration control being used.

References

  • [1] DCB 0129
  • [2] DCB 0160
  • [3] ISO 14971:2019

Appendices

Appendix 1

Likelihood

Likelihood Interpretation
Very High Certain or almost certain; highly likely to occur
High Not certain but very possible; reasonably expected to occur in the majority of cases
Medium Possible
Low Could occur but in the great majority of occasions will not
Very Low Negligible or nearly negligible possibility of occurring

Severity

Severity classification Interpretation Number of patients affected
Catastrophic Death

Permanent life-changing incapacity and any condition for which the prognosis is death or permanent life-changing incapacity; severe injury or severe incapacity from which recovery is not expected in the short term
Multiple
Major Death

Permanent life-changing incapacity and any condition for which the prognosis is death or permanent life-changing incapacity; severe injury or severe incapacity from which recovery is not expected in the short term
Single
Major Severe injury or severe incapacity from which recovery is expected in the short term

Severe psychological trauma
Multiple
Considerable Severe injury or severe incapacity from which recovery is expected in the short

Severe psychological trauma
Single
Considerable Minor injury or injuries from which recovery is not expected in the short term.

Significant psychological trauma
Multiple
Significant Minor injury or injuries from which recovery is not expected in the short term.

Significant psychological trauma
Single
Significant Minor injury from which recovery is expected in the short term

Minor psychological upset; inconvenience
Multiple
Minor Minor injury from which recovery is expected in the short term; minor psychological upset; inconvenience; any negligible severity Single

Appendix 2

Risk Calculation

Likelihood
Very High 3 4 4 5 5
High 2 3 3 4 5
Medium 2 2 3 3 4
Low 1 2 2 3 4
Very Low 1 1 2 2 3
Severity Minor Significant Considerable Major Catastrophic

Risk acceptability matrix

Risk Level Comment
5 Unacceptable level of risk
Mandatory elimination of hazard or addition of control measure to reduce risk to an acceptable level
4 Unacceptable level of risk
Mandatory elimination of hazard or addition of control measure to reduce risk to an acceptable level
3 Undesirable level of risk
Attempts should be made to eliminate the hazard or implement control measures to reduce risk to an acceptable level.
Shall only be acceptable when further risk reduction is impractical
2 Acceptable where cost of further reduction outweighs benefits gained or where further risk reduction is impractical
1 Acceptable, no further action required