When assisting someone using the CUS tool, which phrase should be expressed to communicate a concern?

Using the CUS tool effectively involves clearly communicating about concerns, particularly in high-stakes or ambiguous situations. When someone expresses, "I am concerned," it directly articulates the speaker's apprehension regarding a specific issue or situation. This phrase serves to convey a sense of urgency and seriousness, prompting immediate attention and action.

The CUS tool stands for Concerned, Uncomfortable, and Safety issue, and all three components work together to highlight potential problems that may affect patient safety or team performance. By starting with "I am concerned," you establish a clear foundation for the subsequent parts of the CUS framework. This clarity is vital for ensuring that team members understand the gravity of the situation, which is crucial for fostering a culture of safety and open communication within the team.

Other phrases, while potentially useful in different contexts, do not effectively convey the same sense of immediate concern. "I understand," for instance, may suggest acknowledgment without indicating any need for action. "I recommend" directs attention to a suggested course of action rather than highlighting a concern. "I assume" implies a presumption that may not accurately reflect reality, which can lead to misunderstandings and oversight of significant issues. In environments where patient safety is paramount, being explicit about concerns