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1. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
   August 31, 2023 - A concern is raised regarding the patient’s level of alertness due to medication. … At the beginning of the video, what did the nurse do to express her concern? 2. … The nurse used “CUS” words with the team to address a patient safety concern.

2. Module 3: Component Kit (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
   May 01, 2017 - AHRQ CUS Pocket Card In particular, the CUS (“Concern-Uncomfortable-Safety Issue”) method serves as … (b) CUS contact person thanks the individual for expressing the concern. … CUS contact person acts to address the concern. … CUS contact person determines if the concern affects other staff today. … (d) If we do nothing, will the concern recur?

3. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-comp-kit.html
   June 01, 2017 - If CUS contact person needs to address concern in person (in the procedure room). … CUS contact person thanks the individual for expressing the concern.   … CUS contact person acts to address the concern. … CUS contact person determines if the concern affects other staff today. … If we do nothing, will the concern recur?

4. TeamSTEPPS for Office-Based Care: Mutual Support | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module6/office_support-ig.html
   September 01, 2015 - State the concern. State the problem—real or perceived. Offer a solution. … State the concern. State the problem—real or perceived. Offer a solution. … State the concern: " I am concerned that what you said and how you said it sounded rude ." … CUS stands for the following actions: First, state your concern . … Describe in what way the concern is related to safety.

5. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
   July 01, 2023 - State the concern. State the problem (real or perceived). Offer a solution. … When an initial assertive statement is ignored: It is your responsibility to assertively restate the concern … The team member being challenged must acknowledge that they heard and understood your concern. … If the response does not clarify and alleviate concern, rephrase the anticipated danger.

6. FileNewTemplate
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
   March 07, 2019 - That action will raise the concern and allow fellow team members the opportunity to check or correct … It is a nonthreatening, respectful way to ensure that the concern or critical information is addressed … by restating the concern, and, if the initial assertion is ignored, by rephrasing it. … This two-challenge tactic ensures that an expressed concern is heard, understood, and acknowledged. … Describe in what way the concern is related to safety.

7. Tool: Premortem (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
   January 01, 2017 - top-priority concerns, brainstorm interventions that could be done during CUSP implementation to mitigate the concern … the affinity exercise, a nonverbal idea generation methodology. · Provide “sticky notes” · List each concern … independently with a goal of high volume · Place the notes on the white board or flip chart under the concern … In addition, the CUSP team should periodically review the entire concern list to determine if any other … LEVEL OF CONCERN 1=Low Level 5=High Level ACTION STEPS TO PREVENT FAILURE What can we do differently

8. TeamSTEPPS Mutual Support Module 4
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
   February 28, 2022 - State the concern. State the problem—real or perceived. Offer a solution. … Invoked when an initial assertion is ignored… It is your responsibility to assertively restate the concern … The team member being challenged must acknowledge that they heard and understood your concern. … If the response does not clarify and alleviate concern, rephrase the anticipated danger.

9. PRIMARY CARE OFFICE-BASED TEAMS Mutual Support
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
   January 20, 2006 - It is a nonthreatening, respectful way to ensure that the concern or critical information is addressed … State the concern: “I am concerned that what you said and how you said it sounded rude.” … This two-challenge tactic ensures that an expressed concern is heard, understood, and acknowledged. … CUS stands for the following actions: First, state your concern. … Describe in what way the concern is related to safety.

10. Mutual Support: Severe Hypertension (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - Provide support for your concern in the second challenge. Tip! … Discuss in what way the concern is related to safety. … My concern is that Ms. … Keys and you were forced to escalate the concern. • Imagine your partner is Dr. Dean. … Keys and you were forced to escalate your concern.

11. Mutual Support: Obstetric Hemorrhage (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - Provide support for your concern in the second challenge. Tip! … To use Power Words: • First, state your Concern. • Then state why you are Uncomfortable. … Discuss in what way the concern is related to safety. … Keys and you were forced to escalate the concern. • Imagine your partner is Dr. Dean. … Keys and you were forced to escalate your concern.

12. Module 6: Mutual Support
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module6-mutual-support.pptx
    January 10, 2022 - State the concern. State the problem, real or perceived. Offer a solution. … State the concern: “I am concerned that ___________________________________.” … It is important that the challenger advocate and assert his or her concern by restating the concern, … How did it feel to raise your concern? Was the outcome what you hoped? … Has anyone ever raised a concern about diagnosis-related issues TO you?

13. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module6-presenters-notes.pdf
    January 10, 2022 - State the concern. 3. State the problem, real or perceived. 4. Offer a solution. 5. … State the concern: “I am concerned that ___________________________________.” 3. … It is important that the challenger advocate and assert his or her concern by restating the concern, … • How did it feel to raise your concern? • Was the outcome what you hoped? … Has anyone ever raised a concern about diagnosis‐related issues TO you?

14. Introduction Instructor Guide – PDF (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_ig_support.pdf
    June 09, 2017 - It is immediate and keeps the resident safety of primary concern. … Discuss in what way the concern is related to safety. … • Opening: Say the person’s name to whom the concern is addressed: “Dianne…” • State concern: An owned … • First, state your concern. • Then state why you are uncomfortable. … Discuss in what way the concern is related to safety.

15. Mutual Support: Severe Hypertension - PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
    July 01, 2023 - Provide support for your concern in the second challenge. Tip! … To use Power Words: First, state your Concern. Then state why you are Uncomfortable. … Discuss in what way the concern is related to safety. … My concern is that Ms. … Keys and you were forced to escalate your concern.

16. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
    March 01, 2019 - It is a nonthreatening, respectful way to make sure the concern or critical information is addressed. … State the concern. State the problem—real or perceived. Offer a solution. … Possible Answers: Opening: Say the person's name to whom the concern is addressed: "Dr. … The second challenge should provide some support for your concern. … Discuss in what way the concern is related to safety.

17. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
    July 01, 2023 - Provide support for your concern in the second challenge. Tip! … To use Power Words: First, state your Concern. Then state why you are Uncomfortable. … Discuss in what way the concern is related to safety. … Keys and you were forced to escalate the concern. Imagine your partner is Dr. Dean. … Keys and you were forced to escalate your concern.

18. Communication Strategies to Promote Resident Safety
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
    September 01, 2016 - Larkin is working at a slower pace and breathing harder than usual The PTA’s level of concern leads her … Despite the Physical Therapist working with another resident, the physical therapy aide’s level of concern … Discuss in what way the concern is related to safety. … And as with any resident safety concern, if the safety issue is not acknowledged, a supervisor should … If after two attempts the concern is still disregarded, but the staff member believes resident or staff

19. Premortem Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
    January 01, 2017 - top-priority concerns, brainstorm interventions that could be done during CUSP implementation to mitigate the concern … List each concern on a white board or flip chart. … Place the notes on the white board or flip chart under the concern. … In addition, the CUSP team should periodically review the entire concern list to determine if any other … LEVEL OF CONCERN 1=Low Level 5=High Level ACTION STEPS TO PREVENT FAILURE What can we do

20. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - • Among a sample of records analyzed, the most common description of the patient safety concern, … Given that no specific patient safety concern was identified in the free text for these reports, the … There is no evidence in these reports that any other type of patient safety concern occurred. … The second most common type of patient safety concern identified in the data was related to a COVID- … In total, approximately two-thirds of the records analyzed identified a patient safety concern due to