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We have been engaged in QSEN for more than 20 years. As Linda Cronenwett pointed out earlier in this chapter, the seeds for the project began in 2000 and the formal launch of the program, Phase I, commenced in 2005. Over the past four years, a number of significant accomplishments have been realized. These include the following:

 The seminal article defining the competencies and the related KSAs (Cronenwett et al., 2007) continues to be the most‐referenced article and touchstone for the dissemination and implementation of the QSEN competencies, having been cited in 1,476 publications according to Google Scholar (July 1, 2021).

 The QSEN Institute at Frances Payne Bolton School of Nursing at Case Western Reserve University, directed by Mary Dolansky, continues to be the center for the QSEN movement. The Institute houses the QSEN website, which has a rich array of resources for students, faculty, and clinicians. The annual QSEN meeting, which draws over 500 faculty and clinicians, is the primary venue for sharing teaching innovations and clinical advancements related to quality and safety.

 As the COVID‐19 pandemic seized the world, causing quick pivots for educators and clinicians alike, the QSEN Institute immediately established a rapid response action for teaching strategies to assist faculty. Most academic programs in the United States and many worldwide ceased in‐person classes and used various forms of interactive remote teaching. Safety becomes even more important in times of crises such as pandemics, and the QSEN Institute was able to offer help to demonstrate strategies for alternative forms of instruction.

 A number of task forces have emerged from the Institute, furthering the work of QSEN. These include:The QSEN Clinical Practice Task Force, which serves as a resource for nurses in the practice setting looking for guidance with the QSEN competencies. Its work includes developing resources to infuse the QSEN competencies into orientation/residency/preceptor programs; human resource assistance with job descriptions/performance review/clinical advancement programs; nurse professional development; and Magnet and research.The QSEN Academic Task Force, which oversees the review of the teaching strategies for the website and champions the integration of the competencies and validation of best practices in academic settings.The Simulation Task Force, which is focused on incorporating QSEN competencies into simulation programs and initiatives.The International Task Force, which presented a poster at the 2019 QSEN National Forum reporting on QSEN work in Saudi Arabia, Palestine, Germany, Sweden, and the United States.

 Regional institutes have been established, strengthening the foundation of the QSEN movement and spreading its mission. The QSEN Institute Regional Center at Jacksonville University was established in 2017 by Teri Chenot, with an annual meeting and several graduate tracks related to quality and safety at the university. The UNC likewise launched a Regional Center in 2018 with a focus on globalization and simulation, and the University of Alabama at Birmingham Regional Center also launched in 2018 with a focus on leadership. The Quality and Safety Innovation Center at the College of New Jersey led by Gerry Altmiller was established in 2019. These regional initiatives are shaping the future of nursing through education focused on the KSAs necessary to continuously improve the quality and safety of patient care.

 The recently revised AACN Essentials (2021) documents have incorporated the six QSEN competencies throughout the domains of education.

 The Journal Nurse Educator now has a department focused on the integration of the QSEN competencies into nursing education. Each issue has a column related to the education of prelicensure or graduate students. The Journal of Continuing Education in Nursing also now has a regular column on Teaching Tips for QSEN.

 And since the second edition of Quality and Safety in Nursing, hundreds more articles have been written in the United States and abroad about the QSEN competencies.