The Bankstown-Lidcombe Hospital Medical Gases Incident: Final Report has been prepared by the Chief Health Officer to update the NSW Minister for Health in relation to critical incidents that occurred at Bankstown-Lidcombe Hospital in June and July 2016: dispensing incorrect gas to two neonates through a neonatal resuscitaire in Operating Theatre 8.
Specifically, this Report has been informed by:
- Expert Report: Theatre 8 Medical Gas Cross Connection Bankstown-Lidcombe Hospital (17 August 2016) - prepared by Stuart Clifton, engaged by NSW Health as an expert engineer
- Root Cause Analysis (RCA) investigation report
- Correspondence from BOC Limited (Ltd.)
- Status advice on the disciplinary proceedings