Attachment J -- Screen Shots Hospital SOPS Forms

ATTACHMENT B-2: AHRQ Hospital Survey on Patient Safety Culture Comparative Database, Supporting Statement B-- Screen shots of Hospital SOPS Data Submission Web Site Information Collection Forms

Figure 1: Login page of the secure data submission web site. Users register by clicking “Register for an account.”

Figure 2: Main page/menu of secure data submission web site

Figure 3: Submit questionnaire and link questionnaire to hospital(s).

Figure 4: Upload data for each participating hospital

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