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


Final Report

[27 August 2016]

Interim Report V1.3

[3 August 2016]

Current as at: Saturday 27 August 2016
Contact page owner: NSW Health