Patient Safety Tool: Sample Patient Safety Monthly Reporting Plan
The Centers for Disease Control and Prevention's National Healthcare Safety Network offers a free, downloadable patient safety monthly reporting plan.
NHSN provides forms which can be used for internal routine data collection within healthcare facilities.
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The monthly reporting plan was designed to help healthcare facilities keep track of patient safety events, such as infections, on a monthly basis. The network also provides a Powerpoint format for those facilities that wish to modify and customize the monthly reporting plan to meet their specific needs.
Download the patient safety monthly reporting plan (pdf) for use in your facility.
Note: View our database providing reports that link to free, downloadable and adaptable tools for use in hospitals, surgery centers and other organizations by clicking here.
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