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  1. www.innovations.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.
  2. www.qualitymeasures.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.
  3. www.monahrq.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.
  4. 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.
  5. ce.effectivehealthcare.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.
  6. psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
    November 30, 2022 - June 9, 2021 Why false positives merit concern, too. … June 3, 2020 Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern
  7. www.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
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/teampercept.pdf
    March 21, 2014 - When staff have a concern about patient safety, they challenge others until they are sure the concern
  9. www.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
  10. psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
    November 30, 2016 - Notable findings include widespread concern about a persistent culture of individual blame when errors … occur, and concern about the safety of handoffs .
  11. preventiveservices.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. ce.effectivehealthcare.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.
  13. www.ahrq.gov/teamstepps-program/resources/additional/step.html
    June 01, 2023 - Even though the patient's vital signs were normal, were there reasons for concern?
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pptx
    February 02, 2006 - and Assertion 12 Stop the Line: CUS 13 When Initial Assertion Is Ignored… Voice your concern … at least two times…it’s your responsibility If you are being challenged, acknowledge the concern Correct
  15. preventiveservices.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.
  16. ce.effectivehealthcare.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.
  17. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-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?
  18. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-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?
  19. www.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
  20. www.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.