In 2015 a computer-based system of incident reporting was implemented in our hospital. Since then our department has successfully managed this reporting process with a constant interest shown by our staff (1 report / 100 days of hospitalization which equals nearly 2 reports a day). All incidents are analyzed. Some are then chosen for their impact and improvement potential and presented to hospital staff at monthly morbidity and mortality (M&M) conferences or published as clinical cases. This puts emphasis on the reporting process and on suggested practical changes. The current challenge is to transform these ideas into daily improvements and to find the necessary resources to report and analyze the more complex incidents.