Qualio or ETQ?

A balanced eQMS comparison to help you make the right choice



G2 Grid® 2022 Report for Quality Management (QMS) software

See why our customers prefer us

The lowdown


  • Integrated, connected eQMS

  • Founded 2012

  • 500+ customers

  • Cloud-based

  • Supports/simplifies quality and compliance

  • Designed for SMEs

  • Life science focus


  • Modular eQMS of 42 'applications': 'core' and 'sets'

  • Founded 1992

  • 600+ customers

  • Cloud-based

  • Supports/simplifies quality and compliance

  • Designed and priced for enterprise businesses

  • No industry focus


Features, functionality and usage

Document management

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  • Managed with in-system editing of configurable document templates

  • Version control and GDocP baked in at all times

  • Designed with ease of use and rapid searchability at the core
  • Lack of in-system editability means documents must be edited in Google Docs then re-uploaded

  • Potential version control and integrity weaknesses if not used correctly

  • Customer complaints of slow 'search-as-you-type' functionality

Training management


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  • Push training requirements to users and house training records in a single repository

  • Tight integration with Documents area for easy linkage

  • Push training requirements to users and house training records in a single repository

  • Documents and training requirements not directly linked

Quality event management

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  • Fully configurable workflows in a single area for managing any kind of quality event: complaints, CAPAs, change control, deviations 

  • Easy flexibility to build system workflows that match user needs 


  • Separate applications for CAPA, change, NCR, deviation, investigation, complaint, task and accident management

  • Some customer reports of 'tedious' configuration with inconsistent system nomenclature

Design controls

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  • Dedicated Design Controls area providing full control/traceability of design elements to bring a medical device to market

  • FMEA and ISO 14971 risk management functionality built in

  • Pulls design elements automatically from your other testing systems like Jira, Azure DevOps, Asana, Zephyr, Xray or TestRail

  • No design control application

  • FMEA application can provide some device risk management functionality, but not the full gamut of design control requirements

Audit management

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  • Quality event forms and workflows can be configured to capture and respond to audit data

  • Dedicated area for managing audits, including schedule and configurable checklists

Equipment management

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  • No dedicated calibration functionality, but quality event forms can be configured to capture and respond to equipment and asset data

  • Dedicated area for scheduling and completing calibration activity for assets and equipment

Supplier management

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  • Build a configurable database of your supply chain in the Suppliers area

  • Set bespoke policies for manufacturers, service providers, distributors, consultants and more – then use them to enforce supplier requirements, generate/store key documents and ensure compliance

  • Separate applications for SCARs, receipt and inspection, scoring, and supplier/material/chemical logging

  • House key supplier information and score quality/compliance

  • Integration with SAP, Oracle and Epicor

Ease of use

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  • Designed with natural, intuitive ease of use at the core

  • Clean, minimal UX in a cloud-based system to maximize user engagement and simplify training and onboarding

  • Consistently ranked the easiest eQMS software to set up and use

  • Dated, clunky UX

  • Siloed, modular structure impedes holistic quality management

  • Customers note difficulty using the system, illogical processes and overly complicated set-up

Implementation & validation

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  • Average implementation timeframe: 60 days

  • Follows the latest FDA and GAMP computerized system assurance (CSA) guidelines for a rapid, least burdensome validation approach for customers

  • Validation document pack provides all objective functional evidence of system suitability. Customers need only perform extra software testing if they feel it’s risk-appropriate

  • Industry-leading implementation support with minimal resource needs

  • Average implementation timeframe: 100+ days

  • Still follows outdated IQ-, OQ- and PQ-based computerized system validation (CSV) processes

  • Complex system structure means longer, more complex and resource-intensive implementations with lots of customer 'homework'

  • Some customer reports of undocumented product changes - potentially serious validation compliance consequences


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  • Designed to seamlessly connect to your other business-critical tools. Keeps your teams in their familiar, specialized systems while the eQMS absorbs real-time data from them

  • Plug-and-play API integrations with Salesforce, Jira, Zephyr, Xray, Azure DevOps, Asana, TestRail and ComplianceWire, with NetSuite integration on the way

  • Integrates with another Hexagon product, QDAS, for statistical manufacturing QA

  • Suppliers applications integrate with SAP, Oracle and Epicor 

  • Other custom integrations could be available for extra cost/work



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  • Designed to ‘grow with you’ and guide your business up the quality maturity curve to marketization and beyond

  • Flexible, configurable make-up makes tweaking processes, adding new users and scaling up the QMS quick and easy

  • Single product means single, structured development roadmap for long-term customer delight

  • Tight focus on life science start-ups and scale-ups means scalability and growth a central system component

  • Modular system requires extra investment and high amounts of professional services/support fees for post-implementation changes

  • Customers report minimal out-of-the-box functionality; deep configuration/customization required to extract value, which impedes scalability

  • Dated system experience and UX may harm engagement and long-term scalability potential

  • Customers report important and utilized functionality being removed from the product, and general stagnation/devolution

Customer focus

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  • Commits to a long-term partnership with customers. Customer success managers, plus high-touch 24/7 support from team members in the US and EMEA with live chat and Help Center

  • Ranked the best eQMS provider on G2 to do business with

  • Qualio+ package provides targeted QA/RA expert support and pre-built standard-specific system templates to accelerate compliance

  • G2 Net Promoter Score: 62

  • Offers ETQ Academy system training, webinars, implementation/validation services, community and online support portal to match complexity of the product

  • Customers report implementation scope and system budget creep:  industry-specific configuration, adoption of extra features and required support all requiring extra investment

  •  Support packages only billable in 20- or 40-hour blocks: unsuitable for quick resolution of small/medium issues

  • Customers report slow, unhelpful ticket-based support and lack of industry expertise due to broad vertical focus of the product

  • Software only: no regulatory content, template documentation or expert QA/RA support

  • G2 Net Promoter Score: 41


Choose Qualio if you:

  • Are a life science company

  • Want a modern, scalable, cloud-powered eQMS

  • Want an integrated, life science-focused quality system with all required functionality and no hidden costs

  • Want an intuitive, satisfying system backed by strong customer support

Choose ETQ if you:

  • Aren't a life science company 

  • Are an enterprise business with high eQMS budget and no scalability needs

  • Want a generic modular system with dedicated audit/equipment/meeting/permit/manufacturing management functionality

  • Can commit to internal training and user support for an older, less easy-to-use platform