
by Chris Wubbolt
QACV Consulting CEO I Principal Consultant
During a recent audit, a thoughtful question was raised by one of our consultants regarding the classification of an observation:
Observation: Tubes for clinical pathology (Hematology, Coagulation, and Chemistry)
were stored in an office rather than in a temperature-controlled environment.
Question: Does this constitute a Major finding that could affect test reliability—or can it be considered Minor if informal controls (e.g., temperature monitoring) are in place?
Key Takeaway:
“It’s not always black and white”
As Chris emphasized, “Findings like this often require supporting information and judgment.
It’s not just about where the tubes were stored—it’s about whether the storage conditions met validated specifications.”
He also shared a broader reflection from a past debrief:
“I once classified a finding related to a non-critical system that hadn’t been validated as Major. A client QA rep argued that any system not validated should be a Critical finding.
I explained that if the system is non-critical, it can’t reasonably rise to that level. Everyone agreed—context and classification nuance are essential.”
Chris Wubbolt Response:
“It Depends—Follow the Manufacturer’s Requirements.”
Chris began by pointing out that the critical factor is manufacturer storage specifications:
“Some hospitals or clinics do store tubes outside of controlled areas, but it comes down to what the manufacturer states as acceptable storage conditions. For example, certain hematology tubes might even require refrigeration.”
He referenced two key regulations:
If the tubes were not stored according to manufacturer requirements, this could justify a Major finding. However, context matters.
“If temperature logs show that conditions have stayed within acceptable ranges—even in a non-controlled room—then the observation might be considered Minor,” Chris advised.
Final Thoughts
Before classifying a finding as Major, ensure the following:
AUGUST
2025

AUGUST
2025

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