Quality improvement in healthcare is very complex process and it is very difficult to say which element is more or less significant. But, numbers of health professionals agree that patient safety is fundamental part of quality improvement process and the most important knowledge is how to prevent harm to patients during the treatment and care, in other words patient safety is a key to the optimal delivery of care, improved quality of life and patient satisfaction. In 2005 the World Health Organisation (WHO) lunched World Alliance for Patient Safety (WAPS) to facilitate effort by all member states to make health care safer. As contribution to Forward programme WAPS published WHO draft guidelines for adverse event reporting and learning systems. University clinical centre (UKC) Tuzla is the only institution in BiH which has developed this kind of reporting system. It is named Manual for Incident situations and issued in April 2004. After tree full years of the manual implementation, first results justified efforts of the Department for Organisation and Quality Improvement UKC Tuzla. The Manual was prepared carefully; using best practice in this area in UK and USA, and now days we can say that this system has all characteristics of successful reporting systems.
Key words: adverse events, patient safety, quality of healthcare, reporting system