GAO Calls Out Unfinished FDA Inspection Recommendations

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The U.S. Government Accountability Office (GAO) has written HHS about the need for FDA to make it a high priority to act on inspection-related recommendations that are still open from previous GAO reports.

 

One recommendation from a 1/28/2021 report (GAO-21-265) called for FDA inspection plans for future fiscal years to be developed to ensure that they identify, analyze, and respond to the issues presented by the Covid-related backlog of inspections that could jeopardize the goal of risk-driven inspections. “To fully implement this recommendation, FDA needs to provide documentation that its inspection plans account for, and respond to, the backlog of drug manufacturing inspections,” GAO says. “Until it does so, FDA’s backlog of inspections may jeopardize its strategic goal of shifting toward exclusively risk-driven inspections.”

 

Another recommendation from a 12/2016 GAO report (GAO-17-143) wanted FDA to assess the effectiveness of its foreign offices’ contributions to drug safety by systematically tracking information to measure whether the offices’ activities specifically contribute to drug safety-related outcomes, such as inspections, import alerts, and Warning Letters. In February, FDA told GAO that it drafted and was reviewing indicators of progress and desired outcomes. GAO’s letter said the agency needs to finalize and systematically track the “indicators of progress and desired drug safety-related outcomes to assess the effectiveness of the foreign offices’ contributions to drug safety.”

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