When silence threatens safety: lessons from the first Canberra Hospital neurosurgical inquiry

Despite widespread institutional and professional support, the recommendations of the Bristol Royal Infirmary Inquiry may be insufficient to reduce patient risk from impaired senior medical practitioners. Using the First Inquiry into Neurosurgical Services at the Canberra Hospital as a case study, this article argues that the Bristol-type recommendations--which emphasise reformulation of clinical governance structures, including early reporting of "sentinel events" and compulsory clinical audits--will be ineffective without a reformed institutional ethos that encourages open transparency and respect for those committed to such processes. Such reformulation may need to commence in medical education and involve new strategies including the use of portable digital technology to facilitate self-assessment of performance and immediate reporting of adverse incidents.     

Bhaṭṭa Jayanta on Epistemic Complexity

Journal of Indian Philosophy - This essay seeks to characterize one of the leading ideas in Bha??a Jayanta's Nyāyamañjarī, the fundamental role that...     

Electoral equilibrium in double member districts

The median-voter result, and the issue of stability in electoral competition generally, have been examined from a number of different perspectives. Out of all these examinations, however, only a few focus on institutional variables. This essay demonstrates that the median-voter result is robust under a significant institutional change that entails altering the basic assumption of single-member districts. After developing a model of electoral competition in a two-member, first-two-past-the-post district, I show that, if there are three candidates, the set of Nash equilibria is the set of strategy triples (x ₁, x ₂, x ₃), with x ₁ = x ₂ = x ₃ = x*, and such that x* lies between the quantiles of order 1/3 and 2/3. If there are four candidates, I show that a unique Nash equilibrium exists with all candidates adopting a position at the medianvoter's ideal point.     

Police enforcement of alcohol-related laws

Data are presented that indicate that the Southern region of the United States has a much higher arrest rate for drunkenness than other regions of the country; that the state of Kentucky has a much higher arrest rate for drunkenness and for alcohol offenses in total than even the Southern region; and that Madison County, Kentucky has much higher rates than even the state of Kentucky. Data collected from court records in Madison County are then presented to describe the people arrested for alcoholrelated offenses, the circumstances of their arrests, and the legal processing of their cases. Finally, speculative hypotheses for the higher arrest rates for alcohol-related offenses in the South, in Kentucky, and in Madison County are discussed.