Fla. Stat. 458.351
Reports of adverse incidents in office practice settings


(1)

Any adverse incident that occurs in any office maintained by a physician for the practice of medicine which is not licensed under chapter 395 must be reported to the department in accordance with the provisions of this section.

(2)

Any physician or other licensee under this chapter practicing in this state must notify the department if the physician or licensee was involved in an adverse incident that occurred in any office maintained by a physician for the practice of medicine which is not licensed under chapter 395.

(3)

The required notification to the department must be submitted in writing by certified mail and postmarked within 15 days after the occurrence of the adverse incident.

(4)

For purposes of notification to the department pursuant to this section, the term “adverse incident” means an event over which the physician or licensee could exercise control and which is associated in whole or in part with a medical intervention, rather than the condition for which such intervention occurred, and which results in the following patient injuries:The death of a patient.Brain or spinal damage to a patient.The performance of a surgical procedure on the wrong patient.
The performance of a wrong-site surgical procedure;
The performance of a wrong surgical procedure; or
The surgical repair of damage to a patient resulting from a planned surgical procedure where the damage is not a recognized specific risk as disclosed to the patient and documented through the informed-consent process

if it results in: death; brain or spinal damage; permanent disfigurement not to include the incision scar; fracture or dislocation of bones or joints; a limitation of neurological, physical, or sensory function; or any condition that required the transfer of the patient.

A procedure to remove unplanned foreign objects remaining from a surgical procedure.Any condition that required the transfer of a patient to a hospital licensed under chapter 395 from an ambulatory surgical center licensed under chapter 395 or any facility or any office maintained by a physician for the practice of medicine which is not licensed under chapter 395.

(a)

The death of a patient.

(b)

Brain or spinal damage to a patient.

(c)

The performance of a surgical procedure on the wrong patient.

(d)1.

The performance of a wrong-site surgical procedure;The performance of a wrong surgical procedure; orThe surgical repair of damage to a patient resulting from a planned surgical procedure where the damage is not a recognized specific risk as disclosed to the patient and documented through the informed-consent process

if it results in: death; brain or spinal damage; permanent disfigurement not to include the incision scar; fracture or dislocation of bones or joints; a limitation of neurological, physical, or sensory function; or any condition that required the transfer of the patient.

(d)1. The performance of a wrong-site surgical procedure;
2. The performance of a wrong surgical procedure; or
3. The surgical repair of damage to a patient resulting from a planned surgical procedure where the damage is not a recognized specific risk as disclosed to the patient and documented through the informed-consent process

(e)

A procedure to remove unplanned foreign objects remaining from a surgical procedure.

(f)

Any condition that required the transfer of a patient to a hospital licensed under chapter 395 from an ambulatory surgical center licensed under chapter 395 or any facility or any office maintained by a physician for the practice of medicine which is not licensed under chapter 395.

(5)

The department shall review each incident and determine whether it potentially involved conduct by a health care professional who is subject to disciplinary action, in which case s. 456.073 applies. Disciplinary action, if any, shall be taken by the board under which the health care professional is licensed.

(6)(a)

The board shall adopt rules establishing a standard informed consent form that sets forth the recognized specific risks related to cataract surgery. The board must propose such rules within 90 days after the effective date of this subsection.Before formally proposing the rule, the board must consider information from physicians licensed under this chapter or chapter 459 regarding recognized specific risks related to cataract surgery and the standard informed consent forms adopted for use in the medical field by other states.A patient’s informed consent is not executed until the patient, or a person authorized by the patient to give consent, and a competent witness sign the form adopted by the board.An incident resulting from recognized specific risks described in the signed consent form is not considered an adverse incident for purposes of s. 395.0197 and this section.In a civil action or administrative proceeding against a physician based on his or her alleged failure to properly disclose the risks of cataract surgery, a patient’s informed consent executed as provided in paragraph (c) on the form adopted by the board is admissible as evidence and creates a rebuttable presumption that the physician properly disclosed the risks.

(6)(a)

The board shall adopt rules establishing a standard informed consent form that sets forth the recognized specific risks related to cataract surgery. The board must propose such rules within 90 days after the effective date of this subsection.

(b)

Before formally proposing the rule, the board must consider information from physicians licensed under this chapter or chapter 459 regarding recognized specific risks related to cataract surgery and the standard informed consent forms adopted for use in the medical field by other states.

(c)

A patient’s informed consent is not executed until the patient, or a person authorized by the patient to give consent, and a competent witness sign the form adopted by the board.

(d)

An incident resulting from recognized specific risks described in the signed consent form is not considered an adverse incident for purposes of s. 395.0197 and this section.

(e)

In a civil action or administrative proceeding against a physician based on his or her alleged failure to properly disclose the risks of cataract surgery, a patient’s informed consent executed as provided in paragraph (c) on the form adopted by the board is admissible as evidence and creates a rebuttable presumption that the physician properly disclosed the risks.

(7)

The board may adopt rules to administer this section.

Source: Section 458.351 — Reports of adverse incidents in office practice settings, https://www.­flsenate.­gov/Laws/Statutes/2024/0458.­351 (accessed Aug. 7, 2025).

458.301
Purpose
458.303
Provisions not applicable to other practitioners
458.305
Definitions
458.307
Board of Medicine
458.309
Rulemaking authority
458.310
Restricted licenses
458.311
Licensure by examination
458.313
Licensure by endorsement
458.314
Certification of foreign educational institutions
458.315
Temporary certificate for practice in areas of critical need
458.316
Public health certificate
458.317
Limited licenses
458.319
Renewal of license
458.320
Financial responsibility
458.321
Inactive status
458.323
Itemized patient billing
458.324
Breast cancer
458.325
Electroconvulsive and psychosurgical procedures
458.326
Intractable pain
458.327
Penalty for violations
458.328
Office surgeries
458.329
Sexual misconduct in the practice of medicine
458.331
Grounds for disciplinary action
458.335
Prescription or administration of dimethyl sulfoxide (DMSO)
458.336
Drugs to treat obesity
458.337
Reports of disciplinary actions by medical organizations and hospitals
458.339
Physician’s consent
458.341
Search warrants for certain violations
458.343
Subpoena of certain records
458.345
Registration of resident physicians, interns, and fellows
458.347
Physician assistants
458.348
Formal supervisory relationships, standing orders, and established protocols
458.351
Reports of adverse incidents in office practice settings
458.3115
Restricted license
458.3129
Interstate Medical Licensure Compact
458.3135
Temporary certificate for visiting physicians to practice in approved cancer centers
458.3137
Temporary certificate for visiting physicians to obtain medical privileges for instructional purposes in conjunction with certain plastic surgery or other medical or surgical training programs and educational symposiums
458.3145
Medical faculty certificate
458.3147
Medical school eligibility of military academy students or graduates
458.3151
Temporary certificate for active duty military and veterans practicing in areas of critical need
458.3165
Public psychiatry certificate
458.3175
Expert witness certificate
458.3191
Physician survey
458.3192
Analysis of survey results
458.3193
Confidentiality of certain information contained in physician workforce surveys
458.3255
Electronic-communications diagnostic-imaging or treatment services
458.3265
Pain-management clinics
458.3295
Concerted effort to refuse emergency room treatment to patients
458.3311
Emergency procedures for disciplinary action
458.3312
Specialties
458.3475
Anesthesiologist assistants
458.3485
Medical assistant

Current through Fall 2025

§ 458.351. Reports of adverse incidents in office practice settings's source at flsenate​.gov