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The purpose of this study was to determine whether use of teach-back discharge instructions improve patient satisfaction and patients' self-reported and objective comprehension of discharge instructions in the emergency department when compared to standard discharge instructions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Teach-back | Experimental | Patients are prompted to state back in their own words their comprehension of the information given to them at discharge. |
|
| Standard Discharge Instructions | No Intervention | Patient receives usual discharge instructions as administered by the nurse assigned to the patient. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Teach-back | Behavioral | Patients are asked to repeat back in their own words their understanding of the discharge information that was provided to them. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective comprehension | Concordance between audio taped comprehension compared to review of medical record using 5 level scale of concordance | Questions evaluating comprehension were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1). |
| Measure | Description | Time Frame |
|---|---|---|
| self-reported comprehension | self reported comprehension of discharge instructions for the following areas: emergency department (ED) course (Tests and treatment); Post-ED care (medication instructions; home instructions; follow-up instructions); Return instructions. | Questions evaluating self-reported comprehension were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1). |
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction | Patient satisfaction as measured by 4 questions modified from the Consumer Assessment of Health Providers & Systems (CAHPS) Clinician & Group Surveys | Questions evaluating satisfaction were administered during the discharge interview immediately following discharge from the ED at the index visit (Day 1). |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Richard T Griffey, MD, MPH | Washington University School of Medicine | Principal Investigator |
| Kim A Kaphingst, PhD | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Barnes-Jewish Hospital Emergency Department | St Louis | Missouri | 63110 | United States |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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