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.

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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