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Guidelines for Completing the Assisted Living Facility Adverse Incident Forms Introduction The initial adverse incident report 1-day must be completed and sent to AHCA within 1 business day of the incident.

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To file a health care facility complaint, call (888) 419-3456 / (800) 955-8771 Florida Relay Service (TDD number) or complete the Health Care Facility Complaint Form.

A “Code 15” Report must be filed with the agency within 15 calendar days of the occurrence of any of the following adverse incidents: (a)Death; (b) Brain or spinal damage; (c) the performance of a surgical procedure on the wrong patient; (d) a wrong-site surgical procedure; (e) a wrong surgical procedure; (f) ...

Current Reporting Requirements Florida requires that all licensed healthcare facilities establish an internal risk management program that includes: The investigation and analysis of the frequency and causes of general categories and specific types of adverse incidents to patients.

Reporting adverse events isn't just about patient safety. It also helps protect healthcare organizations from costly liability claims and financial losses caused by reduced reimbursement for the treatment of preventable conditions acquired while in hospital care.

Florida Agency for Health Care Administration. Health Care Administration. About. Contact AHCA.

The rule of thumb is that any time a patient makes a complaint, a medication error occurs, a medical device malfunctions, or anyone—patient, staff member, or visitor—is injured or involved in a situation with the potential for injury, an incident report is required.

(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.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232