Office of Risk Management and Patient Safety

Trish Vidal, Program Administrator
Risk Management and Patient Safety
Tel: (850) 412-3731
Fax: (850) 922-2217
Patricia.Vidal@ahca.myflorida.com

The Agency for Health Care Administration administers serious patient injury reporting, tracking, trending and problem resolution programs in hospitals, ambulatory surgical centers, assisted living facilities, nursing homes and certain HMOs as directed by Florida Statutes.





New User Applications

(IMPORTANT: A User ID and Password from AHCA are required to submit an Adverse Incident Report.)

New User Application for Hospitals, ASCs, HMOs, and ALFs

New User Application for Nursing Homes

Online Adverse Incident Reporting

(IMPORTANT: No faxed reports will be accepted.)

Hospitals, ASCs, ALFs, and HMOs

(IMPORTANT: This system may time out after 20 minutes if the online reporting is not complete.)

Nursing Homes

Adverse Incident Reporting Resources

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