№ files_lp_4_process_3_065092
File format: docx Character count: 14690 File size: 64 KB
Government public health survey questionnaire documenting state mandates in 2017 for reporting CLABSI and CAUTI healthcare-associated infection data from various hospital facility types and care locations to the National Healthcare Safety Network.
Year: 2017
Country: United States
Subject: Healthcare-Associated Infections (HAI) Reporting Requirements
Document Type: Government Survey Questionnaire
Organization: Centers for Disease Control and Prevention (CDC)
Program: National Healthcare Safety Network (NHSN)
Form Number: CDC 57.122
Version: Rev 0, v9.2
Legal Reference: Public Health Service Act Sections 304, 306 and 308(d) (42 USC 242b, 242k, 242m(d))
Reporting Scope: State-level mandates for healthcare facility infection reporting
Healthcare Facility Types: Acute Care Hospital (ACH); Critical Access Hospital (CAH); Long Term Acute Care Facility (LTAC); Inpatient Rehabilitation Facility (IRF)
Infection Measures: Central Line-Associated Bloodstream Infection (CLABSI); Catheter-Associated Urinary Tract Infection (CAUTI)
Locations Covered: Any Location; ICU (adult and/or pediatric); Ward; Neonatal Intensive Care Unit (NICU)
Data Collection Method: Self-reported survey by state health departments
Estimated Response Time: 45 minutes
Confidentiality Statement: Information collected under confidentiality protections for identifiable individuals or institutions
Price: 8 / 10 USD
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Explanation of Program Additional Change for National Healthcare Safety Network (NHSN) Surveillance in Healthcare Facilities
Year: 2025
Region / City: Atlanta, Georgia
Subject: National Healthcare Safety Network (NHSN) Surveillance Changes
Document Type: Program Change Explanation
Organization: Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion
Author: Paula Farrell
Target Audience: Healthcare professionals involved in data collection for NHSN
Effective Period: Until 06/30/2025
Approval Date: May 12, 2025
Amendment Date: N/A
Context: The document describes changes to a data collection instrument used for healthcare facility surveillance as part of the NHSN system, detailing revisions to data collection and formatting guidelines.
National Healthcare Safety Network (NHSN) Reinstatement Request Supporting Statement Part B
Year: 2023
Region / City: United States
Topic: Healthcare Safety and Surveillance
Document Type: Official Statement
Agency / Organization: Centers for Disease Control and Prevention (CDC)
Author: Paula Farrell, MS
Target Audience: Healthcare institutions, public health professionals, policymakers
Period of Validity: Until 5/31/2025
Approval Date: Not specified
Date of Changes: Not specified
Hemovigilance Incident Reporting Form for NHSN Surveillance
Year: Not specified
Facility: Not specified
Document Type: Incident reporting form
Governing Body: Centers for Disease Control and Prevention (CDC)
Target Audience: Healthcare staff involved in transfusion services
Period Covered: Ongoing/unspecified
Date of Discovery: Specified by user
Incident Codes: Up to 20, per NHSN protocol
Job Functions Involved: Healthcare personnel, up to 6 roles
Patient Reaction Recorded: Yes/No
Product Actions: Retrieval, destruction, transfusion status
Confidentiality Assurance: Data collected under Public Health Service Act sections 304, 306, 308(d)
Source Type: Official surveillance reporting form
Topics: CLABSI CAUTI NHSN