Baby's death leads to 'extraordinary' discovery of 2000 unchecked results at hospital | carriefellner
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An investigation by NSW Health, known as a root cause analysis, concluded that systemic failings at the hospital were to blame for the unchecked X-ray, according to the legal documents.A spokeswoman for the Western NSW Local Health district said there was "no doubt that the health system failed [the baby]".
However three months after the NSW Health investigation findings, the doctor became concerned test results were still not being checked by registrars, locums, GPs, consultants and junior medical officers. He warned that if he was called to give evidence in court he would have to state doctors who hadn’t checked results "had not met the expected standard of care and were negligent".
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