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Implementing Nursing Teach Back for Medication Side Effects to Improve Patient Safety
Other Titles
Implementing Nursing Teach-Back to Improve Patient SafetyAbstract
Problem: On a medical-surgical unit, Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) data from March 2023 revealed that only 66.7% of patients understood the purpose, usage, and potential side-effects of their medications upon discharge, below the goal of 80%. Purpose: Implement the Always Use Teachback! Toolkit to enhance patient safety by increasing the use of teach-back during patient medication education. Methods: At the beginning of implementation, the Project Lead (PL) reviewed strategies to integrate the teach-back method into work patterns with nurses. Nurses completed the Conviction and Confidence Scale the first week of implementation and then monthly afterwards to track their usage of the teach-back method. 1st dose EMR documentation was pulled from EMR reports weekly to validate nurses’ compliance. The Nurse Assessment measured the patient’s engagement with the intervention. The Patient Comprehension Survey measured patients’ understanding of the purpose, usage and side-effect(s) of their medication after medication education. These surveys were distributed as QR code to staff and patients. Project data was analyzed weekly by the PL with aggregate reporting to site stakeholders for monitoring, feedback, reinforcement, and discussion. To protect patient confidentiality, identifiers were not collected. Results: A run chart was used to track how confident nurses were in their ability to use the teach-back method in their patients encounter during implementation. Of the 23 respondents, 91% are “using” teach-back during medication education. 1st dose EMR documentation and patient data unavailable due to organizational workflow issues. Conclusion: The teach-back method has been implemented in this organization and is being used during patient medication education encounters. Keywords: medication side effects, patient education, nursing communication, medication teach-back, patient satisfaction.Keyword
medication teach-backmedication side effects
Patient Education as Topic
Drug-Related Side Effects and Adverse Reactions
Patient Satisfaction
Communication in nursing
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http://hdl.handle.net/10713/22791Collections
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