When you take a pill, you’re trusting that the information behind it—how it was tested, stored, and prescribed—is accurate. That’s where ALCOA+, a set of principles for data integrity in healthcare and pharmaceuticals. Also known as Attributable, Legible, Contemporaneous, Original, Accurate, plus Completeness, Consistency, Endurance, and Availability, it’s not just a lab rule—it’s the foundation of safe medication use. If data about your drug is missing, altered, or unclear, it can lead to wrong doses, dangerous interactions, or even life-threatening side effects like QT prolongation, a heart rhythm disturbance linked to certain antiemetics and antipsychotics. This isn’t theoretical. A single misrecorded lot number or an untracked expiration date can mean the difference between healing and harm.
ALCOA+ ties directly to the real-world issues you’re seeing in posts about medication safety, how to store, transport, and dispose of drugs properly during moves or renovations, or why drug interactions, like soy blocking levothyroxine or sulfonylureas causing weight gain matter. It’s why tracking expiration dates on free samples isn’t just good practice—it’s part of keeping data honest. It’s why deprescribing frameworks exist: to correct the clutter of outdated or unnecessary prescriptions that never got properly documented. And it’s why genetic testing for drug metabolism, like the CYP2D6 gene, matters—if your doctor doesn’t know your family’s history or your body’s response, the data is incomplete, and that’s a risk.
ALCOA+ isn’t about bureaucracy. It’s about trust. When you see posts on antiemetics causing drowsiness, or phenytoin swelling your gums, or ethinylestradiol affecting breastfeeding, you’re seeing the human cost of broken data. If a nurse misrecords a dose, if a pharmacy mislabels a bottle, if a patient forgets to mention their soy milk habit—those gaps break ALCOA+. The posts below cover the symptoms, the alternatives, the warnings, and the fixes. But behind every one of them is a system that should’ve caught the problem before it reached you. This isn’t just about what to take. It’s about making sure what’s written down is right.
Proper documentation in manufacturing isn't paperwork-it's your legal proof of quality. Learn GMP record-keeping rules, ALCOA+ principles, common failures, and how to build a compliant system that prevents recalls and audits.