Out-of-sight killers–the ongoing problem with hospital gas lines
Journal Title: The Journal of Health Design - Year 2016, Vol 1, Issue 2
Abstract
The recent death of one neonate and injury to another due to resuscitation with nitrous oxide and not oxygen highlights the continuing risk associated with the delivery of piped nitrous oxide into hospitals. The cause of this incident was not unique, with many identical deaths and injuries occurring frequently around the world over several decades. While standards and design focus are often directed at the equipment used by clinicians, attention also needs to be directed at developing safety mechanisms throughout an entire gas delivery process to prevent ongoing tragedies associated with gas-delivery errors.
Authors and Affiliations
Jon Cornwall, Brian Robinson
Keywords
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- EP ID EP364239
- DOI 10.21853/JHD.2016.9
- Views 148
- Downloads 0
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Out-of-sight killers–the ongoing problem with hospital gas lines
The recent death of one neonate and injury to another due to resuscitation with nitrous oxide and not oxygen highlights the continuing risk associated with the delivery of piped nitrous oxide into hospitals. The cause of...