Assessment Mitigation: Biorisk Management

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A L T H O R G A NADVANCED
I Z A T I O N TRAINER PROGRAMME
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Biorisk Performance – Session 4
Biorisk Management =
Assessment, Mitigation, Performance
April 2012
W O R L D HE AL TH O R G AN I Z ATI O N
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Review
Take 15 min to answer the following questions:
What did you learn yesterday? What was new?
What new insights do you have from yesterday’s

material? What are the implications of that
learning?
What will you do with this information when you go

home? What will you change at your institute?
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What is performance?
In what way does performance improve biorisk

management?
Or…what specific steps are still missing from the

system after assessment and mitigation?
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Performance
Performance is the way in which someone or

something functions
Performance is the result of all the efforts of a

company or organization
Performance improves biorisk management: you know

that your system works and is sustainable, and that
the risk is acceptable
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Group Exercise 1, Step 1
Split into groups
Each group receives the scenario. You have 15 min to:
Identify the performance issues/problems in the

scenario
Write each issue on a separate post-it using a

felt-tip marker
Place post-its on your flip chart
Present to the class
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How could you categorize these performance

issues?
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Biorisk Management System
Control: Processes, procedures, structures, and

responsibilities to manage biorisk
Assurance: Systematic process of checking the

system through audits and inspections
Improvement: Setting and achieving biorisk

management goals based on internal and external
feedback
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In your groups, take 5 min to organize the

performance issues that you identified into either
Control
Assurance
Improvement
Present your results to the class
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Group Exercise 2
In your same groups, refer to yesterday’s assessment /

mitigation scenarios (20 min)
For each mitigation measure you implemented,

what performance measures also need to be
incorporated?
How do performance factors affect or change your

mitigated risk?
How might the results on your graph

change?
Report your results to the class

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Performance: the Relevance of Time

Likelihood
W Consequence
O R L D HE AL TH O R G AN I Z ATI O N
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Access Control Performance
Video Clip
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Biorisk Management
Risk identification Elimination or Substitution Control

Hazard/threat identification Engineering Controls Assurance
Likelihood evaluation Administrative Control Improvement
Consequences evaluation Practices and Procedures
Personal Protective Equipment
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Identification of Biorisks
Identification of
Biorisks
Biosafety Risk Biosecurity Risk

Assessment Assessment

Mitigation Mitigation
Performance
Measures
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Individually, carefully read the Cataract University

exercise
Split into groups and take 40 min to:

Identify problems in Assessment, Mitigation,
and Performance
Use post-it notes, one for each problem
Place post-it notes on “university board”
in appropriate section
How have these problems affected the
university?
Report results to the class

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Laboratory Biorisk Management Standard
CWA 15793:2008
Management system
Consistent with other international standards such

as ISO 9001/14001 and OHSAS 18001
Performance based
Voluntary
PDCA based
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Systematic Approach
Source: Wikipedia
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CWA 15793:2008
Examples of topics covered:
Biorisk Management Policy

Hazard identification, risk assessment and risk control
Roles, responsibilities and authorities
Training, awareness and competence
Operational control
Emergency response and contingency plans
Inventory monitoring and control
Accident and incident investigation
Inspection and audit
Biorisk management review
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Availability
http://www.cen.eu/CENORM/Sectors/technicalc
ommitteesworkshops/workshops/ws31.asp
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How does “plan, do, check, act” relate to the

“assessment, mitigation, performance” model?
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AMP vs. PDCA
Assessment = Plan, Do, Check, Act
Mitigation = Plan, Do, Check, Act
Performance = Plan, Do, Check, Act
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Systematic Approach
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In the same groups, use the table of contents of the

CWA15793 to develop recommendations for change at
Cataract University
Pick two identified problems related to
Assessment, mitigation or performance and
propose solutions
Agree on the benefits and challenges of making
these changes at Cataract University
Identify the specific paragraphs in CWA 15793
that apply to your selected solutions
Record your conclusions on a flip chart
Report the
W Oresults
R L D H Eto
A Lclass
T H O Rin 20
G A N I min
Z ATI O N
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Individual Reflection
How does AMP apply to your own lab?
How could you improve biorisk management at your

own lab, short-term and long-term?
What would be the challenges of implementing AMP?
What would be the benefits of implementing AMP?
Write your answers on a piece of paper; you only have

to share your answers if you wish
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Summary I
How does performance improve biorisk management?

You know that your system works and is
sustainable, and that the risk is acceptable
Three components of performance

Control, assurance, and improvement
CWA 15793:2011: Laboratory Biorisk Management

Plan, do, check, act
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Summary II
The AMP model

Assessment = Plan, Do, Check, Act
Mitigation = Plan, Do, Check, Act
Performance = Plan, Do, Check, Act
Mitigation is improved and sustained when

performance measures are included
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Biorisk Management
Risk identification Elimination or Substitution Control

Hazard/threat identification Engineering Controls Assurance
Likelihood evaluation Administrative Control Improvement
Consequences evaluation Practices and Procedures
Personal Protective Equipment
CWA 15793:2011
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Identification of Biorisks
Identification of
Biorisks

Assessment Assessment

Mitigation Mitigation
Performance
Measures
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Systematic Approach

Assessment Mitigation: Biorisk Management

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W OBIORISK

Biorisk Performance – Session 4

Take 15 min to answer the following questions:

What did you learn yesterday? What was new?

What new insights do you have from yesterday’s

What will you do with this information when you go

In what way does performance improve biorisk

Or…what specific steps are still missing from the

Performance is the way in which someone or

Performance is the result of all the efforts of a

Performance improves biorisk management: you know

Group Exercise 1, Step 1

Split into groups

Each group receives the scenario. You have 15 min to:

Identify the performance issues/problems in the

Write each issue on a separate post-it using a

Place post-its on your flip chart

Present to the class

How could you categorize these performance

Biorisk Management System

Control: Processes, procedures, structures, and

Assurance: Systematic process of checking the

Improvement: Setting and achieving biorisk

Group Exercise 1, Step 2

In your groups, take 5 min to organize the

Present your results to the class

In your same groups, refer to yesterday’s assessment /

For each mitigation measure you implemented,

How do performance factors affect or change your

How might the results on your graph

Report your results to the class

Performance: the Relevance of Time

Access Control Performance

Risk identification Elimination or Substitution Control

Biosafety Risk Biosecurity Risk

Biosafety Risk Biosecurity Risk

Group Exercise 3, Step 1

Individually, carefully read the Cataract University

Split into groups and take 40 min to:

Report results to the class

Laboratory Biorisk Management Standard

Consistent with other international standards such

Examples of topics covered:

Biorisk Management Policy

How does “plan, do, check, act” relate to the

AMP vs. PDCA

Assessment = Plan, Do, Check, Act

Mitigation = Plan, Do, Check, Act

Performance = Plan, Do, Check, Act

Group Exercise 3, Step 2

In the same groups, use the table of contents of the

Record your conclusions on a flip chart

How does AMP apply to your own lab?

How could you improve biorisk management at your

What would be the challenges of implementing AMP?

What would be the benefits of implementing AMP?

Write your answers on a piece of paper; you only have

How does performance improve biorisk management?

Three components of performance

CWA 15793:2011: Laboratory Biorisk Management

The AMP model

Mitigation is improved and sustained when

Risk identification Elimination or Substitution Control