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Quality Assurance: A commitment to safe, quality care

At the heart of nursing, patient safety comes first. As the nursing regulator in Ontario, CNO’s role is to make sure nurses are maintaining their knowledge and skills throughout their careers so that the public receives safe, quality nursing care. One of the ways we do this is through our QA program.

What is Quality Assurance?  

Quality Assurance (QA) is a process where nurses are required to reflect on their practice, identify gaps in their knowledge and take action to improve these gaps. CNO supports this process by providing tools and resources to assist nurses in completing their annual QA requirements.

QA is important because it keeps nurses accountable in making sure they are staying up to date with the changing environments that happen in health care. For instance, changes in nursing scope of practice, increasing patient care needs, and advances in health care technology.   

The Regulated Health Professions Act, 1991 requires that all health care regulators in Ontario establish and administer a QA Program.  

How CNO’s QA program protects the public

Nurses must declare that they engage in Quality Assurance activities every year when renewing their CNO membership. When nurses complete their QA requirements, they demonstrate to the public their commitment to lifelong learning and continued competence. The public can have confidence in the nursing profession and be assured that nurses are providing safe, quality care.

How CNO’s QA program work?

All practicing nurses are accountable, under legislation, to self-assess their nursing practice every year. This includes reflecting on current practice, identifying learning needs, and completing a Learning Plan which clearly outlines activities to improve competence.

Each year, CNO randomly selects nurses for an assessment.  Part of the assessment requires nurses to submit their Learning Plans and other activities for review. Once submitted, a CNO trained QA Peer Assessor/Coach will review the submissions and provide feedback.  Nurses will have an opportunity to work individually with the QA Peer Assessor/Coach to understand and apply their feedback to improve future practice, including strengthening their understanding and application of the Code of Conduct

If a nurse chooses not to participate or does not demonstrate adequate knowledge of the standards, they may be directed to complete additional activities by CNO’s QA Committee.

Concerns about a nurse?  Here’s what you can do

If you have concerns about the practice or competence of a nurse, you can file a complaint with CNO. You can also email PublicComplaints@cnomail.org

Page last reviewed August 23, 2021