Additional Original ArticlesFlexibility in a Crisis How Strong Relational Coordination and Lean Literacy Helped Us Weather the COVID StormSulmonte, Kimberlyann DNP, MHA, RN, CPHQ; Bourie, Patricia Q. MS, RN; Carnevale, Kerry DNP, RN; Clark, Lauren T. S. MSN, RN; Joseph, Bridgid G. DNP, RN, CCNS; Midura, Michelle MBA; Wandel, Jane C. MS, RN; Maurer, Marsha L. DNP, RN, FAONL Author Information Beth Israel Deaconess Medical Center, Boston, Massachusetts. Correspondence: Jane C. Wandel, MS, RN, Beth Israel Deaconess Medical Center, Rabb 244C, 330 Brookline Ave, Boston, MA 02215 ([email protected]). Conflicts of Interest: None to declare. Nursing Administration Quarterly: October/December 2022 - Volume 46 - Issue 4 - p 316-323 doi: 10.1097/NAQ.0000000000000513 Buy Metrics Abstract Our city was significantly impacted by the initial COVID-19 outbreak in the United States. We describe how members of our Quality and Safety team were able to leverage skills in relational coordination and process improvement to respond to rapidly changing needs in a flexible and effective way. © 2022 Wolters Kluwer Health, Inc. All rights reserved.