npj Primary Care Respiratory Medicine (Apr 2017)

Device errors in asthma and COPD: systematic literature review and meta-analysis

  • Henry Chrystyn,
  • Job van der Palen,
  • Raj Sharma,
  • Neil Barnes,
  • Bruno Delafont,
  • Anadi Mahajan,
  • Mike Thomas

DOI
https://doi.org/10.1038/s41533-017-0016-z
Journal volume & issue
Vol. 27, no. 1
pp. 1 – 10

Abstract

Read online

Chronic lung diseases: Call to standardise research into inhaler device errors Researchers should adopt a standardised approach to investigate the incorrect use of inhalers and its associated clinical implications. Henry Chrystyn at Plymouth University, together with scientists across the UK and the Netherlands, conducted a review of research related to inhaled medication errors made by patients with asthma or chronic obstructive pulmonary disease. It is widely acknowledged that many patients with lung conditions don’t use their inhaler devices correctly, which affects drug effectiveness and disease control. While Chrystyn’s team found high critical error rates reported across all devices, their meta-analysis and systematic review highlighted significant gaps in knowledge regarding different inhalers and associated error rates, and how these affect clinical outcomes. The researchers call for in-depth studies into device use, alongside standardised checklists and definitions for such studies to use to ensure consistency.