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1. 136-Ss-Premortem-Tool (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/136-ss-premortem-tool.docx
   April 01, 2025 - Prioritize the identified reasons based on level of concern. … Level of Concern: 1 (Lowest Concern) to 5 (Highest Concern) Action Steps To Prevent Failure: “What … Insert concern Insert intervention Insert person responsible Insert intervention Insert person … Insert concern Insert intervention Insert person responsible Insert intervention Insert person … Insert concern Insert intervention Insert person responsible Insert intervention Insert person

2. 116-Cusp-Premortem-Project-Assessment (doc file)
   www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
   January 01, 2007 - Prioritize the identified reasons based on level of concern. … Level of Concern: 1 (Lowest Concern) to 5 (Highest Concern) Action Steps To Prevent Failure: “What … Insert concern Insert intervention Insert person responsible Insert intervention Insert person … Insert concern Insert intervention Insert person responsible Insert intervention Insert person … Insert concern Insert intervention Insert person responsible Insert intervention Insert person

3. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
   www.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 Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
   June 02, 2025 - 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.

5. Final Progress Report: Addressing Patients' Multiple Concerns in Primary Care (pdf file)
   www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
   January 01, 2024 - SCOPE: About 40% of primary care patients present with more than one medical concern. … SCOPE Primary care patients frequently present to their physicians with more than one medical concern … When patients visit primary care physicians, they often have more than one concern, including (1) the … Because patients with only a single concern are overwhelmingly likely to have that concern addressed … In the recorded visit, 53% of patients presented more than one concern (Mean 1.9; SD 1.0; Range 1-5)

6. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
   www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
   July 01, 2023 - State the concern. State the problem (real or perceived). Offer a solution. … 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.

7. Module 3: Component Kit (doc file)
   www.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?

8. Premortem Tool | Agency for Healthcare Research and Quality
   www.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

9. Tool: Premortem (doc file)
   www.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

10. TeamSTEPPS Mutual Support Module 4
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
    June 02, 2025 - 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.

11. Mutual Support: Severe Hypertension (pdf file)
    www.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.

12. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-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?

13. Module 6: Mutual Support
    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-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?

14. Mutual Support: Obstetric Hemorrhage (pdf file)
    www.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.

15. 109. Treatment Recommendations: Counseling (Continued) | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide109.html
    October 01, 2014 - Communicate caring and concern. Ask how patient feels about quitting. … Directly express concern and willingness to help as often as needed.

16. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    www.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

17. Mutual Support: Severe Hypertension - PowerPoint Presentation
    www.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.

18. Tool: CUS | Agency for Healthcare Research and Quality
    www.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.

19. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
    www.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.

20. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
    www.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."