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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
July 01, 2023 - CUS
CUS is an acronym for three assertive statements:
DESC (Describe, Express, Suggest, Consequences
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-team-performance-tool.pdf
May 31, 2023 - Effectively advocates for patient safety using the Assertive Statement, Two-Challenge Rule,
or CUS
d
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
July 01, 2018 - Assistance Slide 20: Feedback Slide 21: Advocacy and Assertion Slide 22: Two-Challenge Rule Slide 23: CUS … Return to Contents
Slide 23: CUS
Assertive statements:
I am C oncerned! … Effectively advocates for the patient using the Assertive Statement, Two-Challenge Rule, or CUS. … SAFE
Mutual Support:
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/slmeasure.pptx
February 03, 2006 - The team decides to use the CUS and Two-Challenge Rule tools as strategies to address this issue. … Once the training is complete, they decide to launch the implementation of CUS and the Two-Challenge
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/handouts/tmpot.pdf
December 09, 2015 - Effectively advocates for patient safety using the Assertive Statement, Two-Challenge
Rule, or CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/tmpot.pdf
February 28, 2014 - Effectively advocates for patient safety using the Assertive Statement, Two-Challenge Rule, or CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module6-mutual-support.pptx
January 10, 2022 - Mutual Support, 2019)
(TeamSTEPPS for Office‐Based Care: Mutual Support, 2015)
Slide
Use CUS Words … 18
The C-U-S (CUS) technique provides another framework for conflict resolution, advocacy, and mutual … CUS is intended to have a similar effect in verbal communication. … CUS stands for the following:
I am concerned. (State why you are concerned.)
I am uncomfortable. … CUS is not a good tool to address interpersonal issues (disagreements among staff, for example.)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - ............27
• Advocacy and Assertion ........... 28
• Two-Challenge Rule ...................29
• CUS … Take a stronger course of action
– Utilize supervisor or chain of
command
3030
Mutual Support
CUS … Effectively advocates for the patient using the Assertive
Statement, Two-Challenge Rule, or CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module6/6-ts-office-support-ig.pptx
January 20, 2006 - 15
TeamSTEPPS | Office-Based Care
Mutual Support
Slide ‹#›
CUS WORDS
SAY:
The CUS technique … CUS and several other signal phrases have a similar effect in verbal communication. … CUS stands for the following actions:
First, state your concern. … Can you think of some mutual support behaviors (feedback, advocacy and assertion, Two-Challenge Rule, CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module6/ts2-0ltc_module6_slides_support.pptx
February 03, 2006 - TEAMSTEPPS 05.2
Mod 6 LTC 2.0 Page ‹#›
Mutual Support
16
Please Use CUS Words
but only when appropriate … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_slides_msmt.pptx
February 03, 2006 - Stevens calm while ensuring that the responding nurse has support when needed, the team decides to use CUS … area where the evening shift change briefing occurs, they agree that if they hear a staff person using CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/slmutualsupp.pptx
February 03, 2006 - TEAMSTEPPS 05.2
Mod 6 2.0 Page ‹#›
Mutual
Support
16
Page ‹#›
17
Please Use CUS Words
but only … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/ts-obc-webinar-052317.pptx
January 01, 2017 - Tools
Depends on clinical need on which tool to start with
TeamSTEPPS 101:
Huddle/Debriefing
SBAR
CUS … Awareness & Effective Communication
STEPP #3: Difficult Conversations & DISC Assessment
STEPP #4: SBAR, CUS
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ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module7/office_summary.html
February 01, 2016 - CUS:
I'm Concerned.
I'm Uncomfortable.
This is a Safety Issue.
DESC Script. … Huddle
Debrief
STEP
Cross-Monitoring
Feedback
Advocacy and Assertion
Two-Challenge
Rule
CUS
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/instructor_slides/rrsinstructmod.pdf
January 01, 2008 - DO:
Choose the video clip for SBAR, Team Huddle, STEP or
CUS. … DO:
Choose the video clip for SBAR, Team Huddle, STEP, or CUS. … •CUS words when nurse is concerned; Responder’s respect of
CUS words. … •
CUS words.
How can the administration team help with this issue? … –
CUS words.
–
Activating the RRS.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
February 03, 2006 - or chain of command
TEAMSTEPPS 05.2
LTC Essentials Page ‹#›
Essentials
Assertive Statements: CUS … members
Effectively advocates for resident safety using the Assertive Statement, Two-Challenge Rule, or CUS … Monitoring
STEP
I’M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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ce.effectivehealthcare.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
October 01, 2014 - Do:
Choose the video clip for SBAR, Team Huddle, STEP or CUS. … Do:
Choose the video clip for SBAR, Team Huddle, STEP, or CUS. … CUS words when nurse is concerned; Responder's respect of CUS words. … CUS words.
How can the administration team help with this issue? … CUS words.
Activating the RRS.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach.pptx
January 20, 2006 - their teams
Focus on conflict resolution and threat management and avoidance
300-level tools include:
CUS … affects the culture of an organization
Task assistance
Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS … What skills is she using to teach the CUS tool to Nurse Larry?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_team_performance_obtool.pdf
April 24, 2017 - Effectively advocates for resident safety using the Assertive Statement, Two-Challenge Rule, or CUS
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Use the opportunity to report on and reinforce the use of the “Concern-Uncomfortable-Safety Event” (CUS … Learn More
CUS Framework
The CUS tool is presented in the Improving Communication and Teamwork … You can also find out information about CUS as part of the TeamSTEPPS curriculum, available through AHRQ