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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
March 18, 2025 - Leadership
• Briefs
• Huddles
• Debriefs
Mutual Support
• Task Assistance
• Feedback
• Critical Language (CUS … Implementation of TeamSTEPPS at a Level-1 Military
Trauma Center: The San Antonio Military Medical … TeamSTEPPS improves patient safety. BMJ Open Qual. 2024. … ®)
• Daily rounds/goals
Pre-procedure briefing (TeamSTEPPS)
Morning briefing (TeamSTEPPS)
Huddles
Shadowing … and Patient Safety
TeamSTEPPS can drive outcomes
Core Tools of TeamSTEPPS
Structured Language
Briefings
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
October 01, 2024 - AHRQ’s TeamSTEPPS framework is a great communication strategy that complements CUSP concepts. … The “CUS” technique is particularly helpful to empower personnel to speak up and communicate when they … CUS stands for the three key words in the statements: “I am concerned; I am uncomfortable; This is a … breach are rebuffed or ignored, then they can use the escalating technique of CUS:
C: "I am concerned … More information on the CUS technique can be found on the AHRQ website.
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - The operation was performed by two surgeons; the senior spine surgeon performed the ALIF while the junior … One mechanism that could have been used is from TeamSTEPPS TM , “a systematic approach developed by … The process uses the acronym ‘CUS’ to stand for Concern, Uncomfortable, and Safety. … assertively restates the concern (CUS), but the response does not clarify and alleviate the provider … The nurses at the bedside were apparently unable to elevate their concerns, as TeamSTEPPS instructs,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - CUS (I am Concerned! I am Uncomfortable! This is a Safety issue! … of the nursery took the
online TeamSTEPPS Master Training course and rolled
out the Program to the … techniques, including language
such as I am concerned, I am uncomfortable, this is a
safety issue (CUS … them
to see [TeamSTEPPS] as the flavor of the day or the
flavor of the month and think it’s going … The
course focused on helping the staff utilize TeamSTEPPS
procedures and tools, such as SBAR, CUS,
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - And, you know, I referred to the TeamSTEPPS curriculum and the TeamSTEPPS tools pretty commonly because … Again, stacking the deck here on this one by talking about TeamSTEPPS, but CUS is a tool in TeamSTEPPS … the TeamSTEPPS curriculum. … You said, “I'm concerned, I'm uncomfortable, this could be a safety issue,” and that's a CUS tool that's … but there's also TeamSTEPPS materials on the AHRQ website as well.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - And, you know, I referred to the TeamSTEPPS curriculum and the TeamSTEPPS tools pretty commonly because … Again, stacking the deck here on this one by talking about TeamSTEPPS, but CUS is a tool in TeamSTEPPS … the TeamSTEPPS curriculum. … You said, “I’m concerned, I’m uncomfortable, this could be a safety issue,” and that’s a CUS tool that … but there’s also TeamSTEPPS materials on the AHRQ website as well.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … Teamwork Training (TeamSTEPPS®)
Situational awareness during magnesium sulfate use. … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue." … Use TeamSTEPPS communication techniques to—
Request urgent additional help. … Assert and advocate for safe practices (CUS).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - Flexible – A flexible culture is one that adopts team behaviors such as those taught in the TeamSTEPPS … Rule, CUS
*
*
Flexible Culture
Handoffs & Transitions
*
Four items elicit perceptions of handoffs … TeamSTEPPS is an evidence-based team training program developed by the Department of Defense and the … TeamSTEPPS is designed to optimize team performance across the healthcare delivery system by focusing … Mutual Support Tool:
CUS…Graded Assertiveness
*
I’m CONCERNED that Mr.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - The key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … Simulators-Trainers/ob-gyn-simulators-teaching-manikins/birthing-simulators
Teamwork Training (TeamSTEPPS … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue." … Use the "two challenge" rule, repeating the concern, and asking whether you have been heard. … However, the U.S.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - The key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … Teamwork Training (TeamSTEPPS®)
Have situational awareness during use of EFM. … Use CUS language: "I am concerned. I am uncomfortable. This is a safety issue." … However, the U.S. … Timing : In most cases the onset, nadir, and recovery of the deceleration are coincident with the beginning
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … www.klingereducational.com/product-category/simulators-trainers/obstetrics-simulators/
Teamwork Training (TeamSTEPPS … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue." … The ideal approach is for the clinician to put pressure in the antecubital fossa of the posterior arm … , flexing the arm and sweeping the hand and arm over the anterior fetal chest and delivering the hand
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … of the entire baby, at the first sign of placental separation, or upon expulsion of the placenta. … simulation scenarios and "drills" related to obstetric hemorrhage. 26-28
Teamwork Training (TeamSTEPPS … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue." … The patient and family are part of the team.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - The key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … Teamwork Training (TeamSTEPPS®)
Have situational awareness. … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue." … The patient and family are part of the team. … The scope and role may vary depending on the unit to which the rapid responders deploy (e.g., antepartum
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - The key elements are presented within the framework of the Comprehensive Unit-based Safety Program (CUSP … Preoperative briefing
The briefing reviews the plan ahead for patient care and the risks or concerns … Teamwork Training (TeamSTEPPS®)
Have situational awareness. … process and the role of the checklist in facilitating the process. … Use CUS language: "I am c oncerned. I am u ncomfortable. This is a s afety issue."
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support-speaker-notes.pdf
July 01, 2023 - to resolve the safety issue.
7
6
Hospital AIM
Team
Leads
SPPC‐II
Power Words
aka, “CUS … If you are
familiar with AHRQ’s TeamSTEPPS materials, you may know these as CUS words. … • The nurse was uncomfortable with the late decelerations. … What was the situation?
What was the result? … On the other hand, if you are the one receiving feedback it’s good to remember that the
person who is
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_5-mutual-support.pptx
July 01, 2023 - speaking the same language).
5
Escalating the Concern
If the outcome is not acceptable
Take a stronger … Power Words
aka, “CUS” Words
I am Concerned
I am Uncomfortable
This is a Safety Issue
7
Hospital … If you are familiar with AHRQ’s TeamSTEPPS materials, you may know these as CUS words. … What was the situation? What was the result? … Furthermore, the more specific you can make feedback the better it is for the recipient.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - speaking the same language).
5
Escalating the Concern
If the outcome is not acceptable
Take a stronger … Power Words
aka, ”CUS” Words
I am Concerned
I am Uncomfortable
This is a Safety Issue
7
Hospital … If you are familiar with AHRQ’s TeamSTEPPS materials, you may know these as CUS words. … What was the situation? What was the result? … Furthermore, the more specific you can make feedback the better it is for the recipient.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - and speaking the same language).
6
Escalating the Concern
• If the outcome is not acceptable … to resolve the safety issue.
6
7
Power Words
aka, ”CUS” Words
I am Concerned
I am Uncomfortable … If
you are familiar with AHRQ’s TeamSTEPPS materials, you may know these as CUS
words. … What was the situation?
What was the result? … Furthermore, the more specific you can make feedback, the better it is for the recipient.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - The first is you say the name of the person and get their attention. … The reason I didn’t mention the first part of it is that the descriptions of the people that she offers … on the part of the patient. … That’s another series that people have used, they call them the CUS words so some of you may have heard … coming out of TeamSTEPPS so they just tweaked it a little bit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - The AAOS leadership disseminated program materials and information to AAOS
TeamSTEPPS® Master Trainers … These
events focused on several train-the-trainer educational events on the topics of
coaching, TeamSTEPPS … to
ensure alignment with other AHRQ materials such as TeamSTEPPS and the Comprehensive Unit-based … ) and TeamSTEPPS principles. … The lead took this one step further and trained his entire
staff on speaking up using the CUS (I am