What is a CAPA?

"CAPA" is the acronym for corrective action and preventive action. It's a systematic process for identifying the root cause of a quality problems, identifying actions for containment, correction, and corrective action. In the special case of preventive actions, the actions taken prevent quality problems from ever happening, while the corrective actions prevent quality problems from happening again. A CAPA procedure is required by the US FDA, and it is the most common reason for FDA 483 inspection observations and warning letters.
You can purchase Medical Device Academy's procedure on the following webpage:
➤ medicaldeviceacademy.com/capa...
When I teach courses on the CAPA process, 100% of the people can tell me what the acronym CAPA stands for. If everyone understands what a CAPA is, why is the CAPA process the most common source of FDA 483 inspection observations and auditor nonconformities?
When an FDA inspector reviews your CAPA process, the inspector uses a four-step process starting with your procedure. Then the inspector requests your CAPA log. Next, the inspector samples CAPA records, and finally, the inspector will request training records. Most of the 483 inspection observations identify one of the following seven problems:
➤ the procedure is inadequate
➤ records are incomplete
➤ actions planned did not include corrections
➤ actions planned did not include corrective actions
➤ actions planned were not taken or delayed
➤ training is inadequate
➤ actions taken were not effective
Auditors using the process approach request documents beyond the four items that the FDA inspectors review:
➤ inputs to the CAPA process
➤ computer resources used to manage the CAPA process
➤ the effectiveness of training and competency
➤ metrics for the CAPA process
Even though auditors use a more comprehensive process for evaluating the CAPA process, the same seven nonconformities are identified by auditors and inspectors.
If we know exactly what auditors and inspectors will look at, why do so many companies have problems with CAPAs?
People assigned to CAPAs need better training.
If you are interested in other training from Medical Device Academy, we have a few free training videos on our UA-cam Video:
➤ • 5 Tools for performing... - Root Cause Analysis
➤ • CAPA Boards are a wast... - CAPA Boards
➤ • How do I find opportun... - Finding Preventive Actions
➤ • How to perform a quant... - Quantitative Effectiveness Checks
➤ • Example of a true prev... - Example of true Preventive Action
➤ • Do you need a CAPA for... - CAPA for your CAPA process

[@elmcityslim]

I'm going for a job interview this week that is more embedded in quality than my current role. You explained more here than reading any ISO standard or internal quality document could. It isn't that those documents are poorly written, on the contrary. It is that none of them were designed to train. Instead, they are designed to instruct someone already embedded into the role how to execute the process each time. I highly doubt CAPA knowledge will be brought up in the interview as I am internal, and they already know what my current role afforded me in quality knowledge - but you provided me with something that made me much more comfortable going in. Thank you.

[@MedicalDeviceAcademy]

Thank you. I'm very happy that the training gave you an opportunity to pursue a new job. We also offer customized training for companies. If your company is interested, please let us know.

[@mishelmk]

Thank you! Subscribed. 9 out of 10 asking me “just tell me what I have to write down here?”… despite a template’s or policy’s instructions…😢

[@MedicalDeviceAcademy]

That's not an uncommon response. What might help is to point out that although you can tell someone what to write, the process owner is the person that should be deciding what is the best solution to eliminate the root cause. Usually it is necessary to review and edit the wording at a minimum. I find that I can guide the person assigned to write the CAPA without doing the work for them if I give them a metric. For example, currently a process Cpk < 1.00 means that we have non-conforming product frequently. Our target might be Cpk > 1.33 (i.e., 99%+). By giving the process owner a target, they will know how much better the process needs to become.
You might find that your team prefers watching a training video to reading: medicaldeviceacademy.com/capa-training/

[@nataliakambarova672]

Maybe take a screenshot of a correct example and add it to the instructions for that section that people keep messing up :)

[@MedicalDeviceAcademy]

Excellent suggestion Natalia. We do have a lot of examples of how NOT to complete a CAPA. We are going to be recording some new training content, and the side-by-side examples of incorrect and correct examples is a technique we plan to use.

[@omarsheriffkaptan]

@@MedicalDeviceAcademyDoes the example of how not to do CAPA include how to correctly do CAPA? I think we should sometimes focus on “how to” instead of “how not to”.