The Quality Chasm reports, evidence-based practice, and nursing's response to improve healthcare

In a growing set of landmark reports, the Institute of Medicine (IOM) set in motion a sweeping quality initiative for reform of the healthcare system. Many of the recommendations incorporate evidence-based practice applications. Key points from the primary IOM reports are brought together. In the keystone report, the IOM offers analysis of the current health system and provides a blue print for change. Subsequent reports in the same series advance the blueprint by providing exemplars of quality healthcare, identifying clinical priority targets for corrective action, and recommending changes in education of health professionals. This article explores the role of healthcare professionals, specifically nurses, in improving healthcare in context of these reports and discusses how evidence-based practice closes the chasm. Health professionals will be expected to make changes in practice and education. Crucial on the healthcare team, nurses are major players in the healthcare reformation that has been set into motion.