The focus of this edition of Critical Care Nursing Quarterly is quality improvement with a focus on administrative topics. These articles discuss impactful strategies for approaching some of the most challenging administrative processes surrounding quality and staff safety.

DiCuccio, the CNO of an urban teaching hospital, part of a regional network, interviews 3 of her colleagues to gain their perspective on the collaboration necessary from all team members to achieve value in health care in "A Unified Approach to Quality From the Bedside to C-Suite and Back Again: Thoughts From the C-Suite on How to Achieve Value in Health Care."

Effectively organizing the resources devoted to clinical quality processes at the network level is necessary to achieve excellent outcomes. McGonigal and Snyder present an innovative institute approach that connects network-level resources to caregivers in "Institute to Frontline ICU Quality."

A culture focused on patient safety is transparent about the outcomes of the care provided. Leininger, Laux, McGonigal, and Shiner describe the implementation of an evidence-based multidisciplinary mortality review process in "Utilization of Institute for Health Care Improvement Tools to Develop a Mortality Review Process."

The use of social media in health care is pervasive, yet generally unregulated. Hale in "Benefits and Challenges of Social Media in Health Care" presents the case for responsible social media use to promote patient and caregiver safety and well-being.

Ensuring patient safety in the handoff process between the intensive care unit (ICU) and the receiving unit is essential. Chiaramonte and Grenesko describe a nurse-driven quality improvement project designed to achieve this goal in "A Lean Approach to Patient Transfers."

Bedside shift report is a "best practice "to ensure patient safety and enhance the patient experience. In "A Practical Guide to the Implementation of Bedside Report in the Critical Care Setting," Martini and Resek describe the journey to hardwire this important practice in the Neuro ICU.

Much research has been conducted to determine the most important aspects of the patient room from the patient's perspective. In "Patient Room Design: A Qualitative Evaluation of Attributes Impacting Health Care Professionals," Fay, Santiago, Real, and Isaacs explore the attributes that hospital caregivers consider most impactful in their ability to keep their patients safe.

These articles offer impactful solutions to many of the quality and safety challenges that face critical care nurses in leadership and bedside roles. Hopefully, this issue will stimulate ideas for quality improvement projects and provide ideas to engage all levels of the organization in creating solutions.

-Michelle McGonigal, DNP, RN, NE-BC

-Margaret Hardt DiCuccio, PhD, RN,

NEA-BC

Issue Editors