Always Use Teach Back!

​UnityPoint Health (formerly Iowa Health System)
Des Moines, Iowa, USA

The Always Use Teach Back! tools can be used to confirm patient understanding of care instructions by asking patients to repeat the instructions using their own words. An extensive suite of tools is available for download from (below), and more information is available at

This content was initially created as part of the Picker Institute’s Always Events Program. Always Events refer to aspects of the patient experience that are so important to patients and families that health care providers should reliably implement the events 100 percent of the time.
Authors offer full permission to use and adapt these tools with attributions noted on each tool. For more information contact Gail Nielsen at The tools are in use around the globe and we hope that you will share any additional evidence of usefulness with us.
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