Attachment G: Example Screen Shots of Medical Office Survey on Patient Safety Culture Data Submission Web Site Information Colle

Attachment G - Example Screenshots of MO SOPS Data Submission Website Information Collection.docx

Medical Office Survey on Patient Safety Culture Comparative Database

Attachment G: Example Screen Shots of Medical Office Survey on Patient Safety Culture Data Submission Web Site Information Colle

OMB: 0935-0196

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AHRQ Medical Office Survey on Patient Safety Culture Comparative Database, Supporting Statement B


Attachment G: Example Screen Shots of Medical Office Survey on Patient Safety Culture Data Submission Web Site Information Collection



Figure 1: Submit Data Use Agreement (DUA) and Link DUA to Medical Office(s)







Figure 2: Submit Questionnaire and Link Questionnaire to Medical Office(s)



Figure 2: Submit Questionnaire and Link Questionnaire to Medical Office(s), continued







Figure 3: Upload Data for Each Participating Medical Office









File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorTheresa Famolaro
File Modified0000-00-00
File Created2021-09-08

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