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

2. Problem Solving and Escalation – Standards Component Kit | Agency for Healthcare Research and Quality
   www.talkingquality.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?

3. TeamSTEPPS for Office-Based Care: Mutual Support | Agency for Healthcare Research and Quality
   www.talkingquality.ahrq.gov/teamstepps/officebasedcare/module6/office_support-ig.html
   September 01, 2015 - State the concern. State the problem—real or perceived. Offer a solution. … 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 ." … CUS stands for the following actions: First, state your concern . … Describe in what way the concern is related to safety.

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

5. FileNewTemplate
   www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module6.pptx
   March 07, 2019 - That action will raise the concern and allow fellow team members the opportunity to check or correct … It is a nonthreatening, respectful way to ensure that the concern or critical information is addressed … by restating the concern, and, if the initial assertion is ignored, by rephrasing it. … This two-challenge tactic ensures that an expressed concern is heard, understood, and acknowledged. … Describe in what way the concern is related to safety.

6. PRIMARY CARE OFFICE-BASED TEAMS Mutual Support
   www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
   January 20, 2006 - It is a nonthreatening, respectful way to ensure that the concern or critical information is addressed … State the concern: “I am concerned that what you said and how you said it sounded rude.” … This two-challenge tactic ensures that an expressed concern is heard, understood, and acknowledged. … CUS stands for the following actions: First, state your concern. … Describe in what way the concern is related to safety.

7. TeamSTEPPS Fundamentals Course: Module 6. Mutual Support | Agency for Healthcare Research and Quality
   www.talkingquality.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.

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

9. TeamSTEPPS Module 6: Mutual Support (Instructor Guide) (pdf file)
   www.talkingquality.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.

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

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

12. PowerPoint Presentation
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support.pptx
    January 20, 2006 - in for overburdened team members Assistance should be actively offered and given whenever there is concern … nonthreatening and ensures that critical information is addressed Five steps: Make an opening State your concern … 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

13. Module 3: Script and Slides (doc file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
    May 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.

14. TeamSTEPPS® for Office-Based Care - Teamwork Perceptions Questionnaire (T-TPQ) (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/teampercept.pdf
    December 09, 2015 - When staff have a concern about patient safety, they challenge others until they are sure the concern

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

16. TeamSTEPPS for Office-Based Care: Mutual Support | Agency for Healthcare Research and Quality
    www.talkingquality.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

17. Chipra204-Materials Ii (pdf file)
    www.talkingquality.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

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

19. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
    www.talkingquality.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

20. TeamSTEPPS Pocket Guide (pdf file)
    www.talkingquality.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.