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The IOM's 2004 Report on Patient Safety was the first in a series of three reports published since the year 2000 to emphasize the connections among nursing, patient safety, and quality of care. Keeping Patients Safe sets forth the structures and processes that health care workers use in the delivery of care and emphasizes the need to design the nurses' environments to promote the practice of safe nursing care (IOM, 2004b). The importance of organizational management practices, strong nursing leadership, and adequate nurse staffing for providing a safe care environment is critical (Laschinger & Leiter, 2006). The IOM Report (2010) The Future of Nursing Leading Change Advancing Health suggest that nurses should practice to the full extent of their education and training, achieve higher levels of education and training through an improved education system that promotes seamless academic progression, and be full partners with physicians and other health care professionals.

In 2008, the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN) embraced the inclusion of quality improvement systems thinking, change strategies, and patient safety, etc., into undergraduate and graduate nursing education curricula. In 2005, the RWJF funded the University of North Carolina at Chapel Hill School of Nursing on a long‐term project aimed at increasing the inclusion of quality in nursing education and the development of well‐prepared faculty to teach the quality and safety competencies recommended by the IOM to make health care safe, effective, patient centered, timely, efficient, and equitable (IOM, 2001). In 2009, the AACN lent its support to this Quality and Safety Education for Nurses (QSEN) project (www.qsen.org) (Kovner et al., 2010).

The QSEN website is now a comprehensive resource for teaching strategies, etc., for the development of quality and safety competency in nursing.