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21. TeamSTEPPS for Office-Based Care: Mutual Support | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module6/office_support.html
    September 01, 2015 - Assistance should be actively offered and given whenever there is concern for patient safety related … State your concern. Explain the problem. Offer a solution. Reach an agreement. … State the concern: "I am concerned that what you said and how you said it sounded rude." … Invoked when an initial assertion is ignored: It is your responsibility to assertively voice your concern

22. Chipra204-Materials Ii (pdf file)
    www.qualitymeasures.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

23. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
    www.qualitymeasures.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.

24. Rating the Raters: How the Informed Patient Institute Assesses Health Care Quality Reports (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Rating_the_Raters_2011_06_15_Transcript.pdf
    January 01, 2011 - sheets, right, for consumers to help them understand what they can do if they have a problem or a concern … these tip sheets are trying to answer, is what are they supposed to do if they do see that quality concern … and they really try and take you through a set of action steps which you can take if you do have a concern … the California HealthCare Foundation to do this work first in California: what to do if you have a concern … this four times now, what are your impressions of what patients are faced with when they do have a concern

25. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
    www.qualitymeasures.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

26. TeamSTEPPS Pocket Guide (pdf file)
    www.qualitymeasures.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.

27. Written Statement (pdf file)
    www.qualitymeasures.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

28. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
    www.qualitymeasures.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

29. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

30. Teamwork Perceptions Questionnaire (T-TPQ) | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

31. 5 Tk2 P3T3-Antibiogram Factsheet Phase 3 (pdf file)
    www.qualitymeasures.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

32. Chipra205-Materials Ii (pdf file)
    www.qualitymeasures.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

33. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/201419.html
    November 01, 2014 - Anyone can call a huddle at any point and speak up if they have a concern."    … identified continuing communications issues of the staff being reluctant to speak up when they had a safety concern

34. PowerPoint Presentation
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
    June 01, 2021 - A diagnosis is not necessary, but a specific concern should be stated. … apply the Four Moments of Antibiotic Decision Making Form to the care of one resident for whom there is concern

35. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
    March 01, 2017 - Is the physician acting out of habit, because of concern about making a choice that differs from the … If the concern is of missing urosepsis, consider pointing out that you will help assess for any deterioration

36. newbref
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.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

37. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
    www.qualitymeasures.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

38. Tool: STEP | Agency for Healthcare Research and Quality
    www.qualitymeasures.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?  

39. Communicating Infectious Concerns With Antibiotic Prescribers | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/improve/communicate-prescribers.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 …

40. TeamSTEPPS® Essentials Course | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/igessentials.html
    March 01, 2019 - 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 … The second challenge should provide some support for your concern. … The Two- Challenge Rule ensures that an expressed concern has been heard, understood, and acknowledged … Discuss in what way the concern is related to safety.