Form 57.103 Patient Safety Component-Annual Hospital Survey
[NCEZID] The National Healthcare Safety Network (NHSN)
57.103_ACH Annual Facility Survey_2024_CLEAN
57.103 Patient Safety Component - Annual Hospital Survey
OMB: 0920-0666
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0666 can be found here:
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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | 2023 Patient Safety Annual Hospital Survey Form |
| Subject | Data Collection Form for Patient Safety Compnent-Annual Hospital Survey (CDC 57.03) |
| Author | CDC/DDID/NCEZID/DHQP |
| File Modified | 0000-00-00 |
| File Created | 2024-12-24 |