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1. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
   teamstepps.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 Mutual Support Module 4
   teamstepps.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.

3. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
   teamstepps.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. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
   teamstepps.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.

5. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
   teamstepps.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."

6. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
   teamstepps.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 Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
   teamstepps.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

8. Tool: CUS | Agency for Healthcare Research and Quality
   teamstepps.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.

9. TeamSTEPPS Teamwork Perceptions Questionnaire (pdf file)
   teamstepps.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

10. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
    March 19, 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

11. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
    teamstepps.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
    January 01, 2020 - decisionmaker Assert a corrective action in a firm and respectful manner • Make an opening • State the concern … When an initial assertive statement is ignored: • It is your responsibility to assertively voice concern … times to ensure that it has been heard • The team member being challenged must acknowledge that concern

12. Tool: STEP | Agency for Healthcare Research and Quality
    teamstepps.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?  

13. Discussing Infectious Concerns About Residents With Family Members and Caregivers | Agency for Healthcare Research and Quality
    teamstepps.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 …

14. 26-Patient-Education-Guide (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
    June 01, 2023 - Another area of concern is pain medication.

15. TeamSTEPPS Learning Benchmarks (pdf file)
    teamstepps.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

16. Develop and Improve Your Stewardship Program | Agency for Healthcare Research and Quality
    teamstepps.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 …

17. Getting Ready for Change Self-Assessment (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
    May 12, 2016 - Getting Ready for Change Self-Assessment Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool A.3 Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readines…

18. A3 Combo Selfassessment (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
    June 27, 2014 - AHRQ Quality Indicators Toolkit Getting Ready for Change Self-Assessment What is the purpose of this tool? This tool can be used to assess your hospital’s organizational infrastructure and its readiness to support effective implementation efforts. Using this checklist, you can highlight capabilities that should be in p…

19. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
    May 31, 2023 - It is appropriate to continue to assert a patient safety concern until you are certain that it has

20. Strategy 6D: Internet Access for Health Information and Advice | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6d-internet.html
    April 01, 2023 - One common concern is that members or patients may not have access to the Internet. … A related concern is that providing better access only addresses part of the problem.