Sian Hayes 4 Posted 15 March, 2023 Hi All, I have just discovered this forum and wanted to share a mnemonic that we used at my local hospital in the USA to help those staff members who may be intimidated by the medical or interdisciplinary staff hierachy. Of course that hierachy culture requires being broken down in any facility but sadly still exist from my experience of working in Patient Safety in the UK. When telephoning or presenting a patients condition who a nurse is worried about, as well as using initially the standard SBAR tool, conclude the conversation using the mneumonic CUS CUS is a communication tool to gives interprofessional team members a constructive approach to openly discuss an identified safety concern C- Concerned U- Uncomfortable S- Safety Here's an example to the conclusion to the SBAR report: I am Concerned about Mrs J's observations especially her confusion,low blood pressure, elevevated heart rate and high temperature. I am Uncomfortable that despite the paracetomol and IV fluids, she has not responded. I have tried to get a medical team member to see her for further assessment I think this is a Safety issue and she is deteriorating. Please can you come and see her now. Using those strong words, help to guide a staff member in how to escalate the issue and perks up the ears of the listener! This website gives other examples (albeit US) they can be adapted. https://www.myamericannurse.com/safeguarding-patients-courageous-communication-solution/ I've written too many Serious Incidents, as an investigator, where staff did not feel listened to or empowered to speak up, so may be helpful for some of you on the forum, to help empower staff to speak up? 1 reactions so far Patient Safety Learning 550 Posted 17 March, 2023 Thanks for sharing Sian. We have some resources on the hub from AHRQ on TeamSTEPPS which uses CUS if hub members want to find out more: AHRQ course- TeamSTEPPS® for diagnosis improvement AHRQ - TeamSTEPPS teamwork system AHRQ: TeamSTEPPS® – tools and tactics for good teamwork 1 reactions so far Create an account or sign in to comment You need to be a member in order to leave a comment Create an account Sign up for a new account in our community. It's easy! Register a new account Sign in Already have an account? Sign in here. Sign In Now Share https://www.pslhub.org/forums/topic/314-empowering-staff-to-speak-up-cus-mnemonic/ Followers 1 Go to topic listing
Patient Safety Learning 550 Posted 17 March, 2023 Thanks for sharing Sian. We have some resources on the hub from AHRQ on TeamSTEPPS which uses CUS if hub members want to find out more: AHRQ course- TeamSTEPPS® for diagnosis improvement AHRQ - TeamSTEPPS teamwork system AHRQ: TeamSTEPPS® – tools and tactics for good teamwork 1 reactions so far Create an account or sign in to comment You need to be a member in order to leave a comment Create an account Sign up for a new account in our community. It's easy! Register a new account Sign in Already have an account? Sign in here. Sign In Now Share https://www.pslhub.org/forums/topic/314-empowering-staff-to-speak-up-cus-mnemonic/ Followers 1
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