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  1. healthcare411.ahrq.gov/teamstepps/instructor/reference/teampercept.html
    April 01, 2017 - When staff have a concern about patient safety, they challenge others until they are sure the concern
  2. healthcare411.ahrq.gov/news/newsroom/case-studies/cquips1301.html
    November 01, 2012 - hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern … Newman continues to focus attention on this concern through discussion and a broadened involvement with
  3. healthcare411.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Anyone can call a huddle at any point and speak up if they have a concern."    … identified continuing communications issues of the staff being reluctant to speak up when they had a safety concern
  4. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pptx
    November 19, 2008 - SAY: You can also use these signal phrases to escalate a concern. … The first challenge should be in the form of a question or initial concern. … The second challenge should provide some support for your concern. … This “two-challenge" tactic ensures that an expressed concern has been heard, understood, and acknowledged … If, after two attempts to clearly assert your concern, there is no resolution of the problem, you may
  5. healthcare411.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
    June 01, 2023 - Progress: The respiratory therapist notifies the oncoming nurse of their concern.  … Even though the patient’s vital signs were normal, were there reasons for concern?  
  6. healthcare411.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
    January 01, 2020 - 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 voice concern … The team member being challenged must acknowledge that concern has been heard.
  7. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigstafftrain.pdf
    November 19, 2008 - SAY: You can also use these signal phrases to escalate a concern. … The first challenge should be in the form of a question or initial concern. … The second challenge should provide some support for your concern. … This “two-challenge" tactic ensures that an expressed concern has been heard, understood, and acknowledged … If, after two attempts to clearly assert your concern, there is no resolution of the problem, you
  8. healthcare411.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
    March 01, 2014 - Two hours later, the nurse contacts the resident and again expresses her concern that the baby "just … At approximately 0530, the nurse calls the resident again, with another update and continued concern
  9. healthcare411.ahrq.gov/antibiotic-use/long-term-care/improve/discuss-family.html
    June 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  10. healthcare411.ahrq.gov/teamstepps/lep/traintrainers/lepslstafftrain.html
    July 01, 2018 - Voice your concern at least two times...it's your responsibility . … If you are being challenged, acknowledge the concern. Correct the problem. Teach.
  11. Lepprebehsurvey (pdf file)

    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepprebehsurvey.pdf
    October 03, 2012 - Expressing concern or discomfort about communication involving LEP patients when there is a patient
  12. healthcare411.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
    June 01, 2023 - Another area of concern is pain medication.
  13. Leppostbehsurvey (pdf file)

    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leppostbehsurvey.pdf
    October 03, 2012 - Expressing concern or discomfort about communication involving LEP patients when there is a patient
  14. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
    May 01, 2017 - This approach can include— · staff who identify a possible prolapse and clearly state the concern · … · Staff call out concern for or diagnosis of cord prolapse, reducing error through an anticipated and … This is a safety issue.” · Use the "two-challenge" rule, repeating concern, and asking whether you have
  15. healthcare411.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - State the concern. State the problem—real or perceived. Offer a solution. … It is your responsibility to assertively voice your concern at least two times to ensure that it
  16. healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
    May 31, 2023 - Stop action, verify the correct dose, and thank the nurse for her concern regarding patient safety. … Respect for team input • Focus on the patient and safety 7 D • Proper response to the question and concern
  17. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leputcomesasst.pdf
    July 25, 2012 - Interrupt the conversation to state his concern c. Report the incident to his supervisor d.
  18. healthcare411.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
    September 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  19. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - This approach can include— · Care provider clearly stating the concern for shoulder dystocia · Communication … · Care provider calls out concern for or diagnosis of shoulder dystocia, reducing error through an … This is a safety issue.” · Use the "two-challenge" rule, repeating concern, and asking whether you have
  20. healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teamattitude.pdf
    March 21, 2014 - It is appropriate to continue to assert a patient safety concern until you are certain that it has

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