Critical incident reporting is common in inpatient settings, but not always as robust in ambulatory or outpatient care. This study sought to understand how outpatient providers (i.e., primary care, dentists, dermatology, orthopedic surgery, psychiatry/psychology) define critical incidents and how they are handled in their offices. Respondents described critical incidents across a spectrum, from organizational processes to medical emergencies. Many did not have formal reporting or quality improvement systems in place. The authors emphasize the importance of including safety culture and critical incident reporting in medical training.