Jealous Saudi Man shots Doctor Who Delivered His Baby

RISK Alert  No.856,  May 25,2016

Jealous Saudi Man Shoots Doctor Who Successfully Delivered his Baby Because he Saw His Wife Naked During the Baby’s Birth

Violence against healthcare professionals is not limited to the United States.

In April, 2016, a Saudi man went to the King Fahad Medical City hospital in Ridyah,
Saudi Arabia, because his wife had gone labor.   OB-GYN Doctor Muhannan Al Zabn was
assigned to the woman, and the doctor successfully delivered her baby.

However, the woman’s husband was not happy that another male had seen his
wife’s private parts during the delivery, so he hatched a plot to shoot the doctor. He
arranged to meet the doctor at a later time, to thank him for the successful delivery.
Jealous Saudi Shoots Doctor
He met the young doctor in the hospital garden, he pulled out his gun,  and shot him at close range.  Emergency personnel poured out of the hospital after hearing the gunfire, and took the critically injured doctor into surgery, where he was
expected to recover from his injuries.

The father was arrested and taken into custody by Saudi law enforcement.  He had
requested a female physician, but with restrictions on education for women, there
are few female physicians in the Middle East. #Hospital Violence #HospitalShooting

Lessons  Learned : 

1.  Violence against healthcare is happening all over the world.

2. Healthcare staff need strong protective measures to protect themselves.

3. Be aware of local cultural preferences when working abroad.

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After The Surgeon Kills Girlfriend at the Hospital – what next?

Time for a Workplace Violence Assessment? You think?

The shooting death of 33-year-old Jacqueline Wisniewski at Erie County Medical Center left the community in shock last week, especially since the shooter was a surgeon!

The surgeon’s body was found Friday, near his home, with a self-inflicted gunshot to the head. And this tragedy illustrates why EVERY hospital and medical center should be required to do a Baseline Workplace Violence Assessment.

The warning signs were there, the surgeon had lost weight, had become moody and distant, and also had advanced special forces weapons training in his background.

That’s exactly why he passed a background check, but after that initial check, his blatant symptoms of personal problems were ignored, even by the very people who observed them.

Now the hospital staff is traumatized, a beautiful young nurse is dead, the Eric County Medical Center administrators can look forward to an in-depth OSHA investigation, with possible fines and even more disruption.

Don’t let your hospital be a victim of this kind of incident. A Workplace Violence Assessment can be completed in just 5 days, and will reduce the chance of a potential violent incident by over 75%.

Email me directly to get the new white paper on how to prevent workplace violence incidents at

How long does it take for OSHA to develop standards – like for Workplace Violence?

Why OSHA standards take so long to develop

The Government Accountability office reports to Congress on items of interest to Congress and their constituents.  One area that was recently examined was how long it takes OSHA to update standards, or develop new standards.  Here’s a look at the results:

By: David LaHoda, April 30th, 2012

A report by the U.S. Government Accountability Office (GAO) on why OSHA standards take, on average, more than seven years to complete found that “increased procedural requirements, shifting priorities, and a rigorous standard of judicial review” contributed to the lengthy time frame.

In responding to the GAO report, Randy Rabinowitz, OMB Watch’s director of regulatory policy said: “In the years since its creation, OSHA’s charge to protect workers from harm has been undermined by Kafkaesque demands for additional reviews of existing rules mandated by new statutes and executive orders,” according to The Hill. While OSHA’s internal inability to remain focused on priorities and regulatory follow-through was the counter argument presented by the U.S. Chamber of Commerce.

“While some of the changes, such as improving coordination with other agencies to leverage expertise, are within OSHA’s authority, others call for significant procedural changes that would require amending existing laws,” according tot he GAO report.

The GAO report recommended that that OSHA and NIOSH improve collaboration on researching occupational hazards. In that way OSHA could better “leverage NIOSH expertise in determining the needs for new standards and developing them.”

For the entire 55-page report go to

Outlook on Risk & Security Compliance in 2012 – What to Expect.

This New Year’s Eve, I thought at times my neighbors were using a rocket launcher and several assault rifles to shoot up the New Year.  Lucky for me,  I spent the awake time to contemplate the outlook for risk, threat and security issues for 2012 and here’s what I see for 2012.

1.  Government-Mandated Compliance Is Here to Stay for the Healthcare Industry.

I remember when the IT departments are many hospitals thought George W. was going to revoke the HIPAA Security Rule.  It never happened, and this year, for the first time, there is a regulatory body in place that is intent on REAL ENFORCEMENT.

The Dept. of Health & Human Services, Office of Civil Rights,  has expanded HIPAA Security and Privacy Rules to include “Business Associates” including lawyers working in healthcare, and the infamous “3rd Party Providers” who do everything from warehouse data to taking over the IT function of a hospital, and this trend will continue as pressure builds from consumers who’s medical and financial data continues to be compromised.

2.  Workplace Violence Prevention will become an OSHA mandate, if not in 2012, at least by 2015.  Based on the slug-like pace of OSHA, who only recently provided directives for high risk industries, and the pressure from the more than 30 states who have passed their own regulations,  the pressure to stop the number of incidents and to lower their intensities will increase and management will be forced to address it as a major corporate issue.

3.  Pressure on the financial industry to protect consumer information will increase.
  Like many other areas, pressure is increasing to prevent the enormous data breaches we saw in 2011, like Tricare, the recent Stratfor hack by Anonymous, Wikileaks and HealthNet breaches.  Consumers are the squeaky wheel and they want the convenience of plastic and internet use, and they will not tolerate breaches, and they are all registered voters!

The FFIEC has already tightened up on both risk assessment standards, as well as
authentication guidelines for all financial institutions.


There will be a increase in requirements for risk assessment as an accountability feature to force managers to maintain better security in all areas of their organizations. 

Accountability means that individual managers will be held responsible for the decisions they make regarding other people’s:

1.  Financial Data

2.  Medical Records

3.  Safety from both Violence & Bullying in their workplaces.

Budgets can be cut, and staff can be reduced but consumers are demanding protection of their information, and themselves, and the regulators will make sure they get it in 2012!

Webinar Looks at New OSHA Workplace Violence Directive

Workplace Violent Incidents have been on the rise in several specific organizations, including hospitals, home health organizations, social workers who do in home visit, and also late-night retail stores.

On September 8, 2011, OSHA suddenly released their internal Directive on what their OSHA investigators look for when they go to an organization to investigate a Workplace Violence incident.

Whether the incident involves a domestic violence incident, like when a husband shoots his wife at work; or whether it is patient violence against the Emergency Room nurses, it is a big problem that has been increased over the last 8 years.

We have set up a special no-cost webinar to review the new directive and see what it means for employers. Join us to look at how to protect your organization and make sure your staff, and patients stay safe.

Risk Assessment: How about Giving Guns Back to Former Mental Patients

A recent New York Times article explained that a provision tucked in a bill to make it harder for people diagnosed with mental illness to possess firearms, actually restores the rights of mental health patients to get their firearms back. The legislation was passed after the massacre at Virginia Tech in 2007.

One of the main elements of risk assessment is a quantitative (meaning = real numbers) on what has happened in the past. Looking at 2 or 3 years of incident reports, for example, show how many times there has been an incident involving gun violence in a particular neighborhood, city or organization.

Another element is the history of a particular individual to see whether individuals with a diagnosed history of mental illness are MORE OR LESS likely to trigger (forgive the pun) – a violent incident.

If we run that scenario, we will find that individuals who previously had a violent incident with a firearm are MORE LIKELY than the standard population to have another incident.
And that especially holds true if other threat indicators are present, for example:

Termination from a Job
Romantic Difficulties
Difficult Economy

There is a ‘risk multiplier’ effect that takes place that makes the risk higher. By combining different sets of threat categories with areas of weakness, we are create general predictions on the likelihood of repeated violent incidents.

Do the math – it doesn’t make sense for people with a history of mental illness to
get their guns back!

The 5 Missing Elements of Most Workplace Violence Prevention Programs

The 5 Missing Elements of Most Workplace Violence Prevention Programs

After working with a variety of organizations on a baseline Workplace Violence assessment, there are several areas that seem to be common problems for most organizations.  These elements are not expensive, and not timing-consuming, so they are natural candidates for improvement.

A baseline workplace violence assessment is a survey of employees in different roles, combined with a threat analysis and an analysis of existing controls and a historical incidents that can be reviewed and aggregated.

Here are the top 5 most common missing elements, with potential solutions.

1.  Missing workplace violence awareness/training programs.  Many organizations report that they have set these up, that they have sent out emails to all employees, but we consistently find that the employees didn’t read the emails, didn’t know the training was available, or that it wasn’t included in their initial company orientation.

2.  Mis-categorization of workplace violence incidents.   There is a mistaken (in my opinion) idea that domestic violence incidents that happen at work should not be categorized or reported as a Workplace Violence incident.  This is a mistake, and leads to bad information about the true nature of the problem.  If someone comes and shoots her significant other at work (IN THE WORKPLACE) – it is a workplace violence incident.

3.  Staff feels subtle pressure from management not to report every incident.
In my research, management wants every incident reported, every time, but
staff members report that their own direct supervisors may discourage them by not taking time to discuss these pre-incidents, and also by chalking up comments as merely office gossip.

4.  Not linking Human Resources with Security on the issue of Workplace Violence Prevention.  This is a management issue, but organizations that create bridges between HR and security are way ahead because this is one issue where cooperation makes a big difference in results.  HR can’t do a security assessment and security can’t write termination policies and set up employment screening. They are both absolutely necessary.

5.   Not doing an Annual Workplace Violence Assessment.  Since late 2008, when the economy suffered major job losses,  the number of workplace violence assessments have increased dramatically, especially in the healthcare field.  Annual assessments are best way to stay on top of the ‘potential’ for violence in your organization.

Check out one of our regularly scheduled webinars to learn more about this important issue.


REMEMBER – Workplace Violence is the one threat that is PREVENTABLE!


                                        — Caroline Hamilton