Example Screenshots of Nursing Home Survey on Patient Safety Culture Data Submission Website Information Collection

AHRQ Nursing Home Survey on Patient Safety Culture Comparative Database, Supporting Statement B

Attachment G: Example Screen Shots of Nursing Home Survey on Patient Safety Culture Data Submission Website Information Collection

Figure 1: Entering/Uploading Site Information

Figure 2: Upload Questionnaire

Figure 3: Submit Data Use Agreement

Figure 4: Submit Survey Data File