Lessons from the sustainability movement: toward an integrative decision-making framework for nanotechnology.

The author argues that bioethicists must develop alternative approaches to facilitate the study of the conditions for the responsible development of nanotechnologies. Proponents of "sustainability" have developed a useful model to integrate multiple perspectives into the evaluation of the impact of technologies on global ecological integrity under conditions of uncertainty.

Error reduction, patient safety and institutional ethics committees.

Institutional ethics committees remain largely absent from the literature on error reduction and patient safety. In this paper, the author endeavors to fill the gap. As noted in the Hastings Center's recent report, "Promoting Patient Safety," the occurrence of medical error involves complex web of multiple factors. Human misstep is certainly one such factor, but not the only one. This paper builds on the Hastings Center's report in arguing that institutional ethics committees ought to play an integral role in the transformation of a "culture of blame" to a "culture of safety" in healthcare delivery.