Evidence map›Paper›PMID 32972361›Full record

ArticleInternational journal of emergency medicine2020

The impact of teach-back on patient recall and understanding of discharge information in the emergency department: the Emergency Teach-Back (EM-TeBa) study.

Mandhkani Mahajan, Janine Alida Hogewoning, Jeroen Joseph Antonius Zewald, Margreet Kerkmeer, Mathilde Feitsma, Daphne Annika van Rijssel

Abstract read
In one paragraph

Article in International journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. ED-Explain: Personalized Video Instructions for Patients Discharged from the Emergency Department.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2026
    Article
  4. Enhancing Post-Discharge Care for People Who Have Had an Acute Myocardial Infarction in Portugal: Insights From Patient Journey Mapping.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  5. Article
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  9. Identifying Facilitators and Inhibitors of Shared Understanding: An Ethnography of Diagnosis Communication in Acute Medical Settings.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  10. Care Partner's Experience with Care Received in the Emergency Department.Convergence : breaking down barriers between disciplines : proceedings of the International Conference on Healthcare Systems Ergonomics and Patient Safety, HEPS2022. HEPS (Conference) (7th : 2022 : Delft, Netherlands) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mandhkani MahajanDepartment of Emergency Medicine, Reinier de Graaf Hospital, P.O. Box 5011, 2600, GA, Delft, The Netherlands. m.mahajan@rdgg.nl.ORCID http://orcid.org/0000-0002-3525-6183
Janine Alida HogewoningDepartment of Emergency Medicine, Reinier de Graaf Hospital, P.O. Box 5011, 2600, GA, Delft, The Netherlands.
Jeroen Joseph Antonius ZewaldDepartment of Emergency Medicine, Reinier de Graaf Hospital, P.O. Box 5011, 2600, GA, Delft, The Netherlands.
Margreet KerkmeerScience Department, Reinier de Graaf Hospital, Reinier Academy, P.O. Box 5011, 2600, GA, Delft, The Netherlands.
Mathilde FeitsmaDepartment of Emergency Medicine, Reinier de Graaf Hospital, P.O. Box 5011, 2600, GA, Delft, The Netherlands.
Daphne Annika van RijsselDepartment of Emergency Medicine, Reinier de Graaf Hospital, P.O. Box 5011, 2600, GA, Delft, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious research has demonstrated that patients leaving the emergency department (ED) have poor recall and understanding of their discharge information. The teach-back method is an easy technique that can be used to check, and if necessary correct, inaccurate recall. In our study, we aimed to determine the direct and short-term impact of teach-back as well as feasibility for routine use in the ED.

methodsA prospective cohort study in an urban, non-academic ED was performed which included adult patients who were discharged from the ED with a new medical problem. The control group with the standard discharge was compared to the intervention group using the teach-back method. Recall and comprehension scores were assessed immediately after discharge and 2-4 days afterward by phone, using four standardized questions concerning their diagnosis, treatment, follow-up care, and return precautions.

resultsFour hundred eighty-three patients were included in the study, 239 in the control group, and 244 in the intervention group. Patients receiving teach-back had higher scores on all domains immediately after discharge and on three domains after 2-4 days (6.3% versus 4.5%). After teach-back, the proportion of patients that left the ED with a comprehension deficit declined from 49 to 11.9%. Deficits were most common for return precautions in both groups (41.3% versus 8.1%). Teach-back conversation took 1:39 min, versus an average of 3:11 min for a regular discharge interview.

conclusionTeach-back is an efficient and non-time-consuming method to improve patients' immediate and short-term recall and comprehension of discharge information in the ED.

Indexed as

Comprehension and recallPatient communicationPatient educationTeach-back

Identifiers

PMID32972361
PMCPMC7513274

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.