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  1. www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
    June 01, 2017 - To use CUS, first, state your concern, then state why you are uncomfortable. … If the conflict is not resolved, state that there is a safety issue and discuss in what way the concern … is concerned about, this simple protocol makes it an expectation that the staff member express that concern … If the concern is not addressed, then the staff person declares that they are uncomfortable.
  2. www.cpsi.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
  3. www.cpsi.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.
  4. www.cpsi.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
  5. www.cpsi.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
  6. www.cpsi.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
  7. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
    April 24, 2017 - Stop action, verify the correct dose, and thank the nurse for her concern regarding resident safety. … communicates this to the nursing assistant caring for the resident, but the nursing assistant dismisses her concern … Express her concern to the nursing assistant again, saying she was concerned, uncomfortable, and thought … for team input Focus on the resident and safety Proper response to the question and concern
  8. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
    February 03, 2006 - and ensures that critical information is addressed Five-Step Process: Open the discussion State the concern … Rule Invoked when an initial assertion is ignored… It is your responsibility to assertively voice your concern
  9. www.cpsi.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
  10. www.cpsi.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?  
  11. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
    February 03, 2006 - decisionmaker Assert a corrective action in a firm and respectful manner Make an opening State the concern … breach When an initial assertive statement is ignored: It is your responsibility to assertively voice concern … least two times to ensure that it has been heard The team member being challenged must acknowledge that concern
  12. www.cpsi.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.
  13. Mutual Support (pdf file)

    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pdf
    June 12, 2017 - ensures that critical information is addressed � Five-Step Process: 1.Open the discussion 2.State the concern … Invoked when an initial assertion is ignored… � It is your responsibility to assertively voice your concern
  14. www.cpsi.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 …
  15. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
    April 13, 2017 - Addressing Physician Concerns With the Checklist Common Concern Response Explanation “I'm already
  16. www.cpsi.ahrq.gov/teamstepps/primarycare/igpcobt.html
    December 01, 2012 - State the concern. State the problem—real or perceived. Offer a solution. … State the concern. State the problem—real or perceived. Offer a solution. … CUS stands for the following actions: First, state your concern . … Describe in what way the concern is related to safety. … SBAR provides a vehicle for individuals to speak up and express concern in a concise manner.
  17. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
    July 11, 2017 - • You notify the oncoming nurse of your concern (PROGRESS). … It is important to voice your concern by advocating and asserting your statement at least twice if … • 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.
  18. www.cpsi.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
  19. www.cpsi.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 …
  20. www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
    May 01, 2017 - Leader asks each person to offer one positive safety observation or one issue about safety (e.g., a concern … Use the opportunity to report on and reinforce the use of the “Concern-Uncomfortable-Safety Event” (CUS

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