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pcmh.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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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Slide 20: CUS
Say:
"CUS" is one type of structured language. … CUS is one method that can be used to be sure your message is heard. … CUS stands for the three words:
Concerned: I am Concerned!
Uncomfortable: I am Uncomfortable! … Let's watch this short video depicting how to use CUS. … PLAY VIDEO: CUS Video
Ask:
What did you learn from watching staff use CUS?
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-oct2015.pptx
January 01, 2015 - APPLICATION
2
2 Communication
Mutual Support I Pass the Baton
SBAR
Task Assistance
Feedback
Advocacy
CUS … MODULES TOOLS APPLICATION
3
3 Situation Monitoring
Leading Teams STEP
Two Challenge Rule
CUS … Together
Brief review of modules to renew sense of urgency
Barriers SBAR
Two Challenge Rule
CUS … TOOLS APPLICATION
200 Communication
Situation Monitoring
Mutual Support
Leadership
SBAR
CUS … Brief
Huddle
Debrief S-B-A (Situation-Background-Assessment) Exercises; Phone Call to Physician/NP
CUS
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pcmh.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Advocacy and Assertion
Concept: Conflict in Teams
Tool: Two-Challenge Rule
Tool: CUS … Both the Two-Challenge Rule and CUS (the following tool) are two-way interactions.
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pcmh.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - Advocacy and Assertion
Concept: Conflict in Teams
Tool: Two-Challenge Rule
Tool: CUS … Assertive statements plus the Two-Challenge Rule and CUS, discussed below, are tools that can help provide
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - ..................................24
Two-Challenge Rule ........................................25
CUS … Mutual Support Page 26
CUS
Assertive statements:
Mutual Support Page 27
DESC
A constructive approach … members
Effectively advocates for patient safety using the Assertive Statement,
Two-Challenge Rule, or CUS … STAR
Mutual Support
Task Assistance
Formative Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS … STAR
Mutual Support
Task Assistance
Formative Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - Return to Contents
Stop the Line: CUS
CUS (47 sec.) … In TeamSTEPPS, when we need to "stop the line" to ensure safety, we "CUS." … Do: Show "CUS" video clip. … Discussion:
Was the use of CUS effective? Why? … CUS.
Check-back.
Teach-back.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pptx
February 02, 2006 - firm and respectful manner
Assertion is not aggression
Advocacy and Assertion
12
Stop the Line: CUS … Process for including in-person and phone interpreters
Brief/ psychological safety
Advocacy and assertion
CUS
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pcmh.ahrq.gov/teamstepps/simulation/simulationslides/simslides.html
June 01, 2019 - to Top
Example Objective
Communication
Learning Objective: Uses two-challenge rule or CUS … Response: The nurse uses two-challenge rule or CUS to advocate to the physician that Sally should receive … constructive feedback to team members
Effectively advocates for the patient
Uses the Two-Challenge rule, CUS … Example: Use of CUS, SBAR, Two-Challenge. … 2
Unintelligible Communications
Mutual Support
Positive Instances
Two-Challenge
CUS
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pcmh.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - Support
Task Assistance
Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS … CUS
Assertive statements:
DESC Script
A constructive approach for managing and resolving conflict … Effectively advocates for the patient using the Assertive Statement, Two-Challenge Rule, or CUS. … I'M SAFE
Mutual Support
Task Assistance
Feedback
Assertive Statement
Two-Challenge Rule
CUS
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module6/igmutualsupp.pdf
February 19, 2014 - Task Assistance
• Feedback
• Advocacy and Assertion:
Assertive Statement, Two-
Challenge Rule, CUS … CUS. … In verbal communication, “CUS” and
other signal phrases have a similar effect. … To use CUS:
• First, state your concern.
• Then state why you are uncomfortable. … We are now going to watch a video clip of the CUS technique in
action.
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module10/igmeasure.html
March 01, 2014 - 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 … the Two-Challenge Rule—transfers to the unit; and (2) one or two measures to determine if the use of CUS … Discussion:
Which measure or measures did you identify for assessing whether instruction about CUS … Which measure or measures did you identify for determining whether CUS and the Two-Challenge Rule affect
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - Words (Slide 17)
“CUS” signal phrases catch the listener’s attention
To use CUS:
Module 6: Mutual … In verbal communication, CUS and other signal phrases have a similar effect. … To use CUS, first state your concern, then state why you're uncomfortable. … 30
CUS Example Video
Let’s view a video example of using CUS words
After you view the video, please … Did you think about using the assertive statement, the two-challenge rule, or CUS?
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pcmh.ahrq.gov/teamstepps-program/resources/modules/index.html
February 01, 2024 - Assistance
Formative Feedback
Advocacy and Assertion
Conflict in Teams
Two-Challenge Rule
CUS
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pcmh.ahrq.gov/teamstepps/lep/videos/index.html
July 01, 2018 - CUS Words (46 sec.)
Briefing (36 sec.)
Psychological Safety (40 sec.)
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pcmh.ahrq.gov/topics/community-health-workers-and-promotores-de-salud.html
TeamSTEPPS Video - Applying CUS and Teach Back (en inglés).
New! … TeamSTEPPS Video - Using CUS and SBAR in a Rural Community Clinic (en inglés).
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pcmh.ahrq.gov/teamstepps/lep/videos/downloads.html
August 01, 2012 - Compressed video , 162 MB
CUS Words
47 sec.
Compressed video , 27 MB
Briefing
36 sec.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/simslides-update-62819.ppt
January 30, 2006 - TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Learning Objective: Uses two-challenge rule or CUS … be dilated 4–5 cm before she receives the epidural
Response: The nurse uses two-challenge rule or CUS … constructive feedback to team members
Effectively advocates for the patient
Uses the Two-Challenge rule, CUS … counts
Indication of the number of times that a behavior, action, or error occurs
Example: Use of CUS … scenario
Frequency Count Tips
TEAMSTEPPS 05.2
Mod 1 05.2 Page *
Page *
Simulation
Two-Challenge
CUS
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
January 01, 2004 - 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 … and identify (1) one or two measures you
can use to assess whether your TeamSTEPPS intervention –
CUS … Two-Challenge Rule – transfers to the unit; and (2)
one or two measures to determine if the use of CUS … • Which measure or measures did you identify for determining
whether CUS and the Two-Challenge Rule
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pcmh.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