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U.S. Department of Health and Human Services

Safety

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Medical Gases

Audience: hospital and nursing home management and staff, particularly anesthesia professionals

FDA alerts hospitals, nursing homes, and other health care facilities to the hazards of medical gas mix-ups. FDA has received reports from hospitals and nursing homes involving 7 deaths and 15 injuries to patients who were thought to be receiving medical grade oxygen, but were receiving a different gas (e.g., nitrogen) that had been mistakenly connected to the oxygen supply system. This guidance makes recommendations about procedures that will reduce the chance of error and subsequent harm. Access the complete FDA Guidance document