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1. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
   pbrn.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.

2. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
   pbrn.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.

3. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
   pbrn.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.

4. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
   June 01, 2023 - Assertive statements are nonthreatening, respectful ways to make sure the concern or critical information … 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."

5. Tool: CUS | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/teamstepps-program/curriculum/mutual/tools/cus.html
   May 01, 2023 - To use CUS, proceed as follows: C: First, state your concern . … Discuss in what way the concern is related to safety.

6. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
   May 01, 2023 - colleagues if they have requested clarification but the response or confirmation does not ease the concern … teamwork culture where team members respectfully challenge one another when the plan is unclear or of concern … initial assertion is ignored: It is your responsibility as the challenger to assertively voice your concern

7. TeamSTEPPS Mutual Support Module 4
   pbrn.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.

8. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
   February 19, 2014 - State the concern. 3. State the problem—real or perceived. 4. Offer a solution. 5. … 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. … To use CUS: • First, state your concern. • Then state why you are uncomfortable. … Discuss in what way the concern is related to safety.

9. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/teamstepps/officebasedcare/handouts/teamperceptions.html
   December 01, 2015 - When staff have a concern about patient safety, they challenge others until they are sure the concern

10. TeamSTEPPS 2.0 Module 6: Mutual Support
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
    February 09, 2006 - Step two, state the concern. Step three, state the problem, real or perceived. … Say the person's name to whom the concern is addressed. Dr. Myers. Then state the concern. … The second challenge should provide some support for your concern. … To use CUS, first state your concern, then state why you're uncomfortable. … Discuss in what way the concern is related to safety.

11. TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
    March 21, 2014 - When staff have a concern about patient safety, they challenge others until they are sure the concern

12. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
    pbrn.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

13. Enhancing Safety for Patients with Limited English Proficiency
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pptx
    February 02, 2006 - and Assertion 12 Stop the Line: CUS 13 When Initial Assertion Is Ignored… Voice your concern … at least two times…it’s your responsibility If you are being challenged, acknowledge the concern Correct

14. Tool: STEP | Agency for Healthcare Research and Quality
    pbrn.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?  

15. TeamSTEPPS® for Office-Based Care - Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
    December 09, 2015 - When staff have a concern about patient safety, they challenge others until they are sure the concern

16. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
    May 31, 2023 - When staff have a concern about patient safety, they challenge others until they are sure the concern

17. TeamSTEPPS Limited English Proficiency Module: Slide Handouts (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
    July 25, 2012 - Essentials Essentials Stop the Line: CUS When Initial Assertion Is Ignored…  Voice your concern … at least two times…it’s your responsibility  If you are being challenged, acknowledge the concern

18. TeamSTEPPS Limited English Proficiency Module, Staff Training Slide Presentation (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pdf
    July 26, 2012 - Advocacy and Assertion Stop the Line: CUS When Initial Assertion Is Ignored…  Voice your concern … at least two times…it’s your responsibility  If you are being challenged, acknowledge the concern

19. TeamSTEPPS Video: STEP for Inpatient Medical Teams | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps-program/resources/additional/step.html
    June 01, 2023 - Even though the patient's vital signs were normal, were there reasons for concern?

20. Staff Training Instructor Guide | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
    October 01, 2020 - Say: You can also use these signal phrases to escalate a concern. … Slide Time: 1 minute Say: It is important to voice your concern by advocating and asserting your … The first challenge should be in the form of a question or initial concern. … The second challenge should provide some support for your concern. … If, after two attempts to clearly assert your concern, there is no resolution of the problem, you may