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Nurses' Role in Patient Safety

THE MOMENTUM that started with 2 Institute of Medicine (IOM) reports, To Err Is Human: Building a Safer Health System1 and Crossing the Quality Chasm: A New Health System for the 21st Century,2 persists. Eight years later, patient safety and quality improvement are, together, fundamental American healthcare policy concerns. While the quality of care in the United States remains substandard in many pivotal areas, there is no doubt that the nation’s healthcare service stakeholders are united in their desire to reshape the system and are working hard to achieve this. As part of this reinvigorated quality improvement movement, we have come to heed the lesson that transformation is a team effort with each team member bearing significant responsibility. Nurses, as the largest group of healthcare service providers in the nation, are vital members of this team. The IOM report Keeping Patients Safe: Transforming the Work Environment of Nurses3 made it explicit that nurses are the healthcare service professionals most likely to intercept errors and prevent harm to patients. Nurses’ significant role in pro-