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Form Approved OMB No. 0920-0666 Exp. Date 12/31/2018 www. cdc.gov/nhsn Patient Safety Component Annual Facility Survey for Ambulatory Surgery Center ASC Page 1 of 1 Tracking Survey Year required for saving Facility ID Facility Characteristics Ownership check all that apply For profit hospital Not for profit hospital including church Government Management company Military Veterans Affairs Physician Managed care organization Specialty check one Multispecialty Single specialty Check...
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Various healthcare facilities and organizations may require the 57400 NHSN OMB forms.
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57400 NHSN OMB forms are standardized forms used by healthcare facilities to report healthcare-associated infections to the National Healthcare Safety Network (NHSN).
Healthcare facilities, including hospitals, nursing homes, and outpatient facilities, are required to file 57400 NHSN OMB forms.
To fill out 57400 NHSN OMB forms, healthcare facilities need to provide detailed information about healthcare-associated infections, patient demographics, and infection prevention measures.
The purpose of 57400 NHSN OMB forms is to track and monitor healthcare-associated infections in order to improve patient safety and prevent the spread of infections within healthcare settings.
Information that must be reported on 57400 NHSN OMB forms includes data on healthcare-associated infections, patient outcomes, and infection prevention practices implemented by the facility.
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