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November 2006
The Quality Grand Rounds series of 13 case studies on patient safety was published in the Annals of Internal Medicine and supported by the California HealthCare Foundation. The cases, published over four years, from 2002 to 2006, and presented during grand rounds at several hospitals, are based on real experiences and include expert analyses. CHCF President and CEO Mark D. Smith, M.D., M.B.A., was a co-executive editor of the series.
In an effort to provide practical assistance to hospitals in promoting cultures that support higher-quality care and patient safety, the articles in the series are available free of charge on the Annals of Internal Medicine Web site through the links below. One of the presentations, "A Hospitalization from Hell," was broadcast on University of California Television and the video is also available online.
Also included below are the opening and closing editorials of the Quality Grand Rounds series.
 Press Release 8/19/03
Press Release 6/03/02
Annals of Internal Medicine -- Learning from Our Mistakes (Opening Editorial)
Annals of Internal Medicine -- The Wrong Patient
Annals of Internal Medicine -- Unexpected Hypoglycemia in a Critically Ill Patient
Annals of Internal Medicine -- Are Bad Outcomes from Questionable Clinical Decisions Preventable Errors?
Annals of Internal Medicine -- Hospital-Onset Infections: A Patient Safety Issue
Annals of Internal Medicine -- A Hospitalization from Hell: A Patient's Perspective on Quality
Annals of Internal Medicine -- Advance Care Planning for Fatal Chronic Illness
Annals of Internal Medicine -- Patient Safety and Medical Malpractice: A Case Study
Annals of Internal Medicine -- Triage of Patients with Acute Chest Pain and Possible Cardiac Ischemia
Annals of Internal Medicine -- Practical Approaches to Increasing Safety in the Intensive Care Unit
Annals of Internal Medicine -- The Cognitive Psychology of Missed Diagnoses
Annals of Internal Medicine -- Fumbled Handoffs: One Dropped Ball after Another
Annals of Internal Medicine -- Computerization Can Create Safety Hazards: A Bar-Coding Near Miss
Annals of Internal Medicine -- Graduate Medical Education and Patient Safety
Annals of Internal Medicine -- The Case for Patient Safety (Closing Editorial)
UCTV Video Presentation -- The Hospitalization from Hell
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