Sydney baby oxygen mix-up

“A report into a deadly south-west Sydney hospital gas mix-up has outlined recommendations including a performance watch for the health district, after a “catastrophic error” left one baby dead and another with suspected brain damage.”

http://www.abc.net.au/news/2016-08-27/staff-in-in-gas-mix-up-did-not-meet-responsibilities-report-says/7791218

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