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1. Section 1: Overview of Mutual Support Key Concepts and Tools | Agency for Healthcare Research and Quality
   www.cahps.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 Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
   www.cahps.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.

3. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
   www.cahps.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

4. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
   www.cahps.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
   www.cahps.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
   www.cahps.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. Tool: CUS | Agency for Healthcare Research and Quality
   www.cahps.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.

8. Chipra204-Materials Ii (pdf file)
   www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
   August 27, 2014 - received a positive developmental screening result or an indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … Set (1.1.1.1)" "Communication: From Patient to Provider: indication from the family that there was concern

9. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
   www.cahps.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

10. TeamSTEPPS Pocket Guide (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
    May 01, 2023 - y State the concern. y State the problem (real or perceived). y Offer a solution. … an initial assertive statement is ignored: y It is your responsibility to assertively restate the concern … y The team member being challenged must acknowledge that they heard and understood your concern. … y If the response does not clarify and alleviate concern, rephrase the anticipated danger.

11. Written Statement (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-written-statement.pdf
    June 28, 2017 - Written Statement To Whom It May Concern: As one of the creators of the Pediatric Medical Complexity

12. 5 Tk2 P3T3-Antibiogram Factsheet Phase 3 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
    May 01, 2014 - consequences of inappropriate prescribing practices are serious and have become a major public health concern

13. Chipra205-Materials Ii (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
    August 27, 2014 - 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … 1 )" Union of: "Communication: From Patient to Provider: indication from the family that there was concern … Data Elements) "Communication: From Patient to Provider: indication from the family that there was concern … about child's development" using "indication from the family that there was concern about child's development

14. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
    May 01, 2017 - errors that have occurred in the most recent timeframe to show that this is an important and ongoing concern

15. Tool: STEP | Agency for Healthcare Research and Quality
    www.cahps.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?  

16. Pocket Guide: TeamSTEPPS | Agency for Healthcare Research and Quality
    www.cahps.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.

17. Discussing Infectious Concerns About Residents With Family Members and Caregivers | Agency for Healthcare Research and Quality
    www.cahps.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 …

18. Provider Contact Information (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/dotphrase.pdf
    January 29, 2021 - Accompanying education material PATIENT SAFETY QUALITY IMPROVEMENT INITIATIVE SAFETY CONCERN: Currently

19. 26-Patient-Education-Guide (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
    June 01, 2023 - Another area of concern is pain medication.

20. Implement-Facilitator-Guide (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
    May 01, 2017 - The second challenge should provide some support for your concern for the patient. … The two-challenge tactic ensures an expressed concern has been heard, understood, and acknowledged. … After two attempts, if the concern is still disregarded but you believe patient or staff safety is or … When you use CUS, you state your concern, you state why you are uncomfortable, and then you state that