Presentation on theme: "Partnership for Patients"— Presentation transcript:
1 Partnership for Patients Teach-back Basics100 E. Grand Ave., Ste. 360 • Des Moines, IAOffice: • Fax:
2 Objectives Define teach-back and key components Upon completion of the teach-back training, participants will be prepared to :Define teach-back and key componentsExplain the value of teach-back in improving patient careApply knowledge and skills to conduct teach-back throughout patient care
3 What is Teach-back?Teach-back is a simple mechanism by which a patient’s understanding of a concept or topic may be assessed. It can be used to teach concepts as well as techniques.
4 Who?Should be used with every patient; never assume literacy or health literacyAll staff should know how to do it and use it whenever critical information is being communicated to the patient and/or family memberIs NOT a test of the patient but rather a test of how well you explained a concept
5 Why? We remember: 10% of what we read 20% of what we hear 30% of what we see50% of what we see and hear80% of what we say90% of what we say and apply“What I hear, I forget; what I see, I remember; but what I do I understand”- Confucius in 451 B.C.
6 Teach-back is supported by research Studies have demonstrated that patients recall and comprehend as little as 50% of what they are told by their physicians.-Schillinger, Arch Intern Med/Vo640 l 163, Jan 13, 2003, “Closing the Loop”In some disease conditions, more than 40% of patients sustain significant risks by misunderstanding, forgetting, or ignoring healthcare advice.Roter DL. The outpatient medical encounter and elderly patients. Clin Geriatr Med. 2000;1695-Asking patients to recall and restate what they have been told, is one of the 11 top patient safety practices.-AHRQ, 2001 Report, Making Health Care SaferNot only is teach-back a good thing to do, it is supported by research. In fact, many studies have shown that patients recall as little as 50% of what they are told. This can lead to increased risk for the patient if they don’t understand.
7 When? Every patient, every time Whenever teaching new concepts After re-teaching using a different methodThroughout the patient’s hospital stay
8 How? Do not ask a patient, “Do you understand?” Ask patients to explain or demonstrateAsk open-ended questionsDo not ask yes/no questionsRe-teach in a different way
9 Additional Tips for Teach-back: Slow downUse a caring tone of voice and attitudeUse plain language; simple wordsAvoid using medical jargonFocus on the 2 or 3 most important concepts.Break it down into short statements (chunk & check)Highlight or circle key information
11 “If they don’t do what we want, we haven’t given them the right information.” -Vice Admiral Richard CarmonaFormer Surgeon General
12 References: Minnesota Health Literacy Partnership (MHLP) American Medical Association (AMA)Agency for Healthcare Research & Quality (AHRQ)Centers for Disease Control and Prevention (CDC)Institute for HealthCare Improvement