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Timeline of mix-up behind baby's death

AAP logoAAP 2/08/2016


January 2014 - Oxygen bottle runs out while baby being resuscitated. Baby transferred to a nearby nursery to continue treatment.

14-15 July 2015 - BOC Limited installs and tests new gas pipes in the hospital's birthing units.

Late June 2016 - Outlet labelled "oxygen" in theatre 8 used to resuscitate baby girl. Newborn suffers suspected brain damage.

23 June 2016 - So-called "root cause analysis" into girl's birth and care.

13 July 2016 - Newborn John Ghanem dies after theatre 8 gas pipes are used to resuscitate him.

14 July 2016 - Paediatrician involved in a clinical review of the cases requests a check of the gas outlet.

21 July 2016 - BOC tests find the outlet is omitting nitrous oxide instead of oxygen and theatre 8 is closed.

- Tests of all outlets in operating theatres and birthing units across South West Sydney Local Health District commences.

22 July 2016 - Baby girl's family is told of the bungle and requests privacy; appointment is made with baby John's family. BOC is contacted and NSW coroner informed.

23 July 2016 - Baby John's family told of incident.

25 July 2016 - BOC informs NSW Health it's commencing its own investigation, and NSW Police visit the unit.

26 July 2016 - Health Minister Jillian Skinner releases details to the public.

2 August 2016 - Hospital engineer who installed the pipes stood down and NSW Health stops using BOC Limited.

25 August 2016 - Final report into investigation due from obstetrician and gynaecologist Dr Michael Nicholl

(Source: Bankstown-Lidcombe Hospital Medical Gases Incident interim report prepared by NSW chief health officer Dr Kerry Chant)

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