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ce.effectivehealthcare.ahrq.gov/teamstepps/events/webinars/dec-2016.html
July 01, 2018 - Call-Out
Check-Back
Handoff
Mutual Support
Task Assistance
Feedback
Two-Challenge Rule
CUS … Use CUS.
Use the two-challenge rule.
Check back and close the loop.
DON'T
Overreact.
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ce.effectivehealthcare.ahrq.gov/health-literacy/professional-training/index.html
January 01, 2024 - Limited English Proficiency Safety: CUS Words
Using plain language to describe specific procedures
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - Advocacy and Assertion
Concept: Conflict in Teams
Tool: Two-Challenge Rule
Tool: CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-4-slides.pptx
February 28, 2022 - Use supervisor or chain of command.
15
15
Please Use CUS Words
but only when appropriate!
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ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - CUS 1 Slide 29. Collaboration 1 Slide 30. SBAR 1 Slide 31. Call-Out 1 Slide 32. … CUS 1
Say:
CUS is an acknowledgment of an unsafe situation. … When you use CUS, you state your concern, you state why you are uncomfortable, and then you state that
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - surgical environment
The barriers to speaking up
The solution – the use of structured language
The CUS … Language
Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
46
The CUS … for Ambulatory Surgery
53
Checklist demonstration video
Closed-loop communication audio recording
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module7-presenters-notes.pdf
January 01, 2008 -
• Task Assistance
• Feedback
• Advocacy and Assertion
• Two-Challenge Rule
• DESC Script
• CUS … • CUS: Use signal words as a framework for conflict resolution:
• I'm Concerned.
• I'm Uncomfortable … Huddle
Debrief
Cross-monitoring
STEP
Task assistance
Feedback
Advocacy and assertion
Two-challenge rule
CUS
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
April 24, 2017 - mental model
Respect for input from all
Sharing the right information
Two-Challenge Rule
CUS … workload
Distractions
Conflict
Anger
Conflict resolution
DESC script
Collaboration
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_vbac-abpain.docx
May 01, 2017 - .
· Team uses CUS (concerned, uncomfortable, safety) or the facility’s “stop the line” phrase, if needed … Team uses CUS (concerned, uncomfortable, safety) or the faiclity’s “stop the line” phrase, if needed.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - Team uses CUS (concerned, uncomfortable, safety) or the facility’s “stop the line” phrase, if needed. … Team uses CUS or the facility’s “stop the line” phrase, if needed.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Slide 21: CUS
Say:
CUS is an acknowledgment of an unsafe situation. … When you use CUS, you state your concern, you state why you are uncomfortable, and then you state that
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201530.html
November 01, 2015 - Another technique, "CUS" (I am concerned! I am uncomfortable! This is a safety issue!)
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module7/slsummary.html
July 01, 2018 - I'M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module2/office_structure.html
September 01, 2015 - Penguins illustrate the statements that make up the acronym CUS: C - I am Concerned!
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/contents.html
March 01, 2014 - Resolution
1
19,21
29,35
38
47
51,52
57
74,84
85,86, 90,95, 96,99, 110, 116
129
CUS
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools.html
July 01, 2017 - File , 2.4 MB; Text Version )
Endoscopy Checklist Template ( Word File , 2.4 MB; Text Version )
CUS
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
July 01, 2023 - Check-Back
Two-Challenge Rule
Handoff
(I-PASS the BATON)
DESC Script
CUS … Slide 21: CUS 1
I am C ONCERNED!
I am U NCOMFORTABLE!
This is a S AFETY ISSUE!
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - Shadowing Another Professional Tool
www.ahrq.gov/cusptoolkit
26
TeamSTEPPS® Tools
Collaboration
CUS
-
ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1worksheet.html
March 01, 2014 - __| Providing task assistance
|__| Providing and receiving feedback
|__| Two-Challenge Rule
|__| CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
January 01, 2013 - 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Limited English
Proficiency &
TeamSTEPPS
34
Stop the Line: CUS … Process for including in-person and phone interpreters
Brief/psychological safety
Advocacy and assertion
CUS