In 2024, the Fremont Medical Center saw an increase in superficial surgical site infections (SSIs). When observing the PACU discharge education process, many infections arose weeks after surgery because the teach-back method was not being used for general surgery patients and their family members. The primary problems causing SSIs were unclear written instructions, patients not fully understanding discharge instructions, and patients not taking proper care of their surgical wounds at home.

Evidence supports that using the teach-back method improves patient comprehension of discharge instructions and wound care management. A ‘Plan Do Study Act’ cycle was carried out to improve the discharge education process ensuring that patients could accurately recall key information, including the signs and symptoms of infection, proper care of the surgical site and wound dressings, and who to contact when concerns arise.

During the implementation phase, a standardized teach-back script with three guided open-ended questions was used: patients were asked to repeat the signs and symptoms of infection, explain how they would care for their surgical site and dressings after discharge, and confirm the appropriate contact person in case of any issues. After 30 days, patient charts were reviewed to monitor any early or developing infections.

The teach-back method showed successful results with the significant reduction in superficial general surgery SSIs in 2025. Patients reported feeling more confident and prepared to care for their surgical sites after discharge, while nurses noticed increased patient engagement during education sessions. Using the teach-back method in discharge education helps improve patient readiness, which can reduce the risk of SSIs and enhance overall safety outcomes.