Since 1999, dozens of organizations and hundreds of initiatives have emerged to improve the quality and safety of patient care, yet insufficient progress has been made. Attention has turned toward improving senior leadership team effectiveness. The authors describe a national project that examined the role of the senior leadership team in 8 hospitals in promoting quality and safety, with particular focus on the role of the chief nurse officer in this process.
Author Affiliations: Clinical Professor and Director, Katharine J. Densford International Center of Nursing Leadership (Dr Disch), University of Minnesota School of Nursing, Minneapolis; Dean and Professor (Dr Dreher), Rush University School of Nursing, Chicago, Illinois; Associate Professor (Dr Davidson), UCLA School of Nursing and School of Public Health, Los Angeles, California; President and CEO (Ms Sinioris) and Chief Operating Officer (Ms Wainio), National Center for Healthcare Leadership, Chicago, Illinois.
Correspondence: Dr Disch, University of Minnesota School of Nursing, 308 Harvard St SE, WDH 5-160, Minneapolis, MN 55455 (firstname.lastname@example.org).