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  1. www.qualitymeasures.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?
  2. www.qualitymeasures.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
  3. www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module6/slmutualsupp.html
    July 01, 2018 - Slide 17: Please Use CUS Words but only when appropriate! … Return to Contents Slide 17: Please Use CUS Words but only when appropriate! … CUS (10 sec.) … SAFE  Mutual Support:  Task Assistance  Feedback  Assertive Statement  Two-Challenge Rule  CUS
  4. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/module-4-slides.pptx
    March 01, 2017 - Brief Huddle Debrief STEP Cross-Monitoring Feedback Advocacy and Assertion Two-Challenge Rule CUS … Teamwork and Communication | ‹#› 7 TeamSTEPPS Communication Concepts3 Brief Huddle Debrief SBAR CUS … Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Teamwork and Communication | ‹#› 19 CUS … Long-Term Care® AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules CUS … Teamwork and Communication | ‹#› TeamSTEPPS CUS Video http://www.ahrq.gov/professionals/education/curriculum-tools
  5. www.qualitymeasures.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, CUSCUS. … 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.
  6. www.qualitymeasures.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?
  7. www.qualitymeasures.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
  8. www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-slides.html
    March 01, 2017 - Huddle Debrief STEP Cross-Monitoring Feedback Advocacy and Assertion Two-Challenge Rule CUS … Slide 8: TeamSTEPPS Communication Concepts 3 Brief Huddle Debrief SBAR CUS DESC 3. … Slide 20: CUS Image: CUS stands for I am concerned, I am uncomfortable, this is a safety issue. … CUS video located at: http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/longtermcare
  9. www.qualitymeasures.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
  10. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
    March 01, 2017 - others that antibiotic resistance is a growing problem and that antibiotics can have harsh side effects CUS … Please use CUS words, but only when appropriate! … [CLICK] The TeamSTEPPS CUS tool is another strategy you can utilize. … Using the CUS technique provides a framework for conflict resolution, advocacy and mutual support. … Example of the SBAR and CUS Tools. In: Taylor SL, Saliba D.
  11. www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/improving-communication-slides.pptx
    September 01, 2022 - CUS Tool – Improving Communication and Teamwork in the Surgical Environment. … May 2017 https://www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/cus-tool.html
  12. www.qualitymeasures.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
  13. www.qualitymeasures.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.
  14. www.qualitymeasures.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
  15. www.qualitymeasures.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
  16. www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/mutual/tools/conflict.html
    July 01, 2023 - Advocacy and Assertion Concept: Conflict in Teams Tool: Two-Challenge Rule Tool: CUSCUS may be used when the conflict is placing the patient at risk.
  17. www.qualitymeasures.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
  18. www.qualitymeasures.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
  19. www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
    January 01, 2020 - Support      Task Assistance      Feedback      Advocacy and Assertion      Two-Challenge Rule      CUSCUS 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
  20. www.qualitymeasures.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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