Journal reflection? we review the overview of quality and safety building on the understanding that quality and safety start with the individual. Empowered individuals work in quality and safety conscious teams to create units that are using quality improvement and a safety culture to improve achieving organizational goals. The six QSEN competencies are reviewed but will be discussed in depth over each of the next six weeks Finally, the integrative project starts the student on a path to create a WIKI page that demonstrates how the learning impacts the individual, the unit, and the organization