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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module7/7_ts_office_summary.pptx
January 20, 2006 - Office-Based Care
6
Mutual Support Tools
Task Assistance
Feedback
Advocacy and Assertion
Two-Challenge Rule
CUS … STRATEGIES
Brief
Huddle
Debrief
STEP
Cross-Monitoring
Feedback
Advocacy and Assertion
Two-Challenge
Rule
CUS
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www.cpsi.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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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Facilitate escalation by using CUS
– I am Concerned
– I am Uncomfortable
– This is a Safety … issue
Example of the CUS-style escalation process is in the component kit for this module. … Incorporate routine use of CUS into frontline work; ensure broad staff understanding and comfort with
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module8/8_ts_office_teach-ig.pptx
January 20, 2006 - have to probe as to why an individual feels uncomfortable in situations where he or she should use CUS … This person may entirely understand CUS in theory but may not put it into action. … Asking questions could get to the reason CUS is not being used. … the types of questions a coach might ask to help him or her understand why someone is not using the CUS … The mutual support tools are:
Task assistance
Feedback
Advocacy and assertion
Two-Challenge Rule
CUS
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 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 in the … You can also find out information about CUS as part of the TeamSTEPPS curriculum, available through AHRQ
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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module8/office_teach-ig.html
September 01, 2015 - The tools at this level include:
CUS.
Two-Challenge Rule.
DESC script. … have to probe as to why an individual feels uncomfortable in situations where he or she should use CUS … This person may entirely understand CUS in theory but may not put it into action. … Asking questions could get to the reason CUS is not being used. … CUS.
DESC script.
Collaboration.
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
July 01, 2023 - Advocacy and Assertion
Concept: Conflict in Teams
Tool: Two-Challenge Rule
Tool: CUS … CUS may be used when the conflict is placing the patient at risk.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module10/ts2-0ltc_module10_ig_msmt.pdf
October 18, 2017 - calm while ensuring that the
responding nurse has support when needed, the team decides
to use CUS … where the evening shift change briefing occurs,
they agree that if they hear a staff person using CUS … and identify (1) one or two measures you
can use to assess whether your TeamSTEPPS intervention,
CUS … , transfers to the dementia unit; and (2) one or two
measures to determine if the use of CUS affects … • Which measure or measures did you identify for determining
whether CUS affects resident outcomes
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/teamstepps/officebasedcare/module6/office_support-ig.html
September 01, 2015 - Statement Assertive Statement Examples Conflict Resolution Options Two-Challenge Rule Two-Challenge Rule CUS … Return to Contents
CUS Words
Say: The CUS technique provides another framework for conflict resolution … 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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - • CUS words.
How can the administration team help with this issue? … – CUS words.
– Activating the RRS.
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www.cpsi.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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www.cpsi.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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www.cpsi.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
-
www.cpsi.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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www.cpsi.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