Fla. Stat. 459.026
Reports of adverse incidents in office practice settings


(1)

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

(2)

Any osteopathic physician or other licensee under this chapter practicing in this state must notify the department if the osteopathic physician or licensee was involved in an adverse incident that occurred in any office maintained by an osteopathic physician for the practice of osteopathic 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 chapter 458 or this chapter 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 chapter 458 or this chapter 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 459.026 — Reports of adverse incidents in office practice settings, https://www.­flsenate.­gov/Laws/Statutes/2024/0459.­026 (accessed Aug. 7, 2025).

459.001
Purpose
459.002
Chapter not applicable to practice of medicine, surgery, chiropractic medicine, etc
459.003
Definitions
459.004
Board of Osteopathic Medicine
459.005
Rulemaking authority
459.008
Renewal of licenses and certificates
459.009
Inactive status
459.011
Privileges, obligations, and status of osteopathic physicians
459.012
Itemized patient statement
459.013
Penalty for violations
459.015
Grounds for disciplinary action
459.016
Reports of disciplinary actions by medical organizations
459.017
Osteopathic physician’s consent
459.018
Search warrants for certain violations
459.019
Subpoena of certain records
459.021
Registration of resident physicians, interns, and fellows
459.022
Physician assistants
459.023
Anesthesiologist assistants
459.025
Formal supervisory relationships, standing orders, and established protocols
459.026
Reports of adverse incidents in office practice settings
459.0055
General licensure requirements
459.0066
Expert witness certificate
459.074
Interstate Medical Licensure Compact
459.0075
Limited licenses
459.0076
Temporary certificate for practice in areas of critical need
459.0077
Osteopathic faculty certificate
459.0081
Physician survey
459.0082
Analysis of survey results
459.0083
Confidentiality of certain information contained in physician workforce surveys
459.0085
Financial responsibility
459.0092
Fees
459.0122
Patient records
459.0125
Breast cancer
459.0135
Drugs to treat obesity
459.0137
Pain-management clinics
459.0138
Office surgeries
459.0141
Sexual misconduct in the practice of osteopathic medicine
459.0145
Concerted effort to refuse emergency room treatment to patients
459.0151
Emergency procedures for disciplinary action
459.0152
Specialties
459.00761
Temporary certificate for active duty military and veterans practicing in areas of critical need

Current through Fall 2025

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