Skip Navigation U.S. Department of Health and Human Services www.hhs.gov/
Agency for Healthcare Research Quality www.ahrq.gov
www.ahrq.gov/
A Toolkit for Redesign in Health Care

Figure 2.  Sample Primary Data Collection Tool: Intern

Figure depicts a sample of data entries using the primary data collection tool in table format.

Note: Data in this figure are for illustrative purposes only.

Return to Document

 

AHRQAdvancing Excellence in Health Care