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An approach to reduce inhaler errors using Donabedian's triad.

Dorothy May Isip Cruz1, Manjush Karthika1, Ashraf Alzaabi2,3

  • 1Faculty of Medical and Health Sciences, Liwa College, Abu Dhabi, United Arab Emirates.

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Incorrect inhaler use impacts respiratory disease outcomes. Quality improvement strategies, focusing on healthcare professional training and patient education, can enhance treatment effectiveness and patient satisfaction.

Keywords:
Donabedian’s triadinhaler errorsoutcomeprocessstructure

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Area of Science:

  • Respiratory Medicine
  • Quality Improvement Science

Background:

  • Inhaler misuse, involving metered-dose inhalers (MDIs) and dry powder inhalers (DPIs), negatively impacts asthma and COPD management.
  • Patient, device, and healthcare professional (HCP) factors contribute to inhaler errors, leading to poor health outcomes and reduced quality of life.

Purpose of the Study:

  • To explore quality management strategies for reducing inhaler errors.
  • To propose a framework utilizing Donabedian's triad (structure, process, outcome) for improving inhaler use.

Main Methods:

  • Literature review and conceptual framework development.
  • Analysis of institutional and patient-centered solutions for inhaler misuse.

Main Results:

  • Quality improvement initiatives can enhance patient satisfaction and treatment outcomes.
  • Institutional solutions focus on structural and process changes (e.g., HCP training, checklists).
  • Patient-centered solutions emphasize process and outcome improvements (e.g., education, adherence).

Conclusions:

  • Implementing quality management frameworks can significantly reduce inhaler errors.
  • A combined approach focusing on structural and process improvements is key to enhancing care quality and patient outcomes in respiratory disease management.