Bundaberg and beyond: duty to disclose adverse events to patients

Although much excellent work has been done in Australia and elsewhere to improve the safety and quality of health care provision, the practice of medicine is inherently risky--adverse events sometimes occur. In Australia, practical guidelines for the open disclosure of adverse events to patients have been developed and are being implemented. State and Territory medical boards have recently adopted Codes of Conduct which include disclosure provisions, although the Australian Medical Association's Code of Ethics does not yet contain express patient disclosure provisions. There is a dearth of authority concerning legal obligations to disclose known or suspected adverse events. Although many Australian jurisdictions have introduced statutory protection for those who apologise or express regret to patients following an adverse event, there is no corresponding express statutory disclosure obligation, unlike in some parts of the United States. The Bundaberg experience illustrates the complex ethical, practical and legal issues which arise in this area.     

From permanent employment to massive lay-offs: the political economy of ‘transitional unemployment’ in urban China (1993–8)

Abstract

The idea that economic activities may be described and studied as ‘embedded’ in social relations has been central to much debate in recent economic sociology. The present paper analyses legal struggles over the status of begging in US law and argues that conflicting rhetorical accounts of begging illustrate social actors’ efforts to articulate the interconnectedness of their social world, including the ways in which economic practices are embedded in their social and institutional contexts. The paper thus suggests that embeddedness is not just something identified by social researchers, but also a problem faced by social actors as they try to understand the socio-economic order in which they live and act. By arguing for or against the claim that begging is simultaneously an economic action and the exercise of the right to freedom of expression, the voices in this debate attempted to affect the future of this marginal economic activity.