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The Fine Is Only the Tip of the Iceberg
What Lies Beneath Will Cost You–Even Without a Fine The Incident That Made the News On December 4, 2025, Alberto Rangel, a 51-year-old social worker, was stabbed and killed at San Francisco General Hospital’s HIV clinic, Ward 86. He came to work that day to help people. He did not go home. Six months later, the reports from California’s Division of Occupational Safety and Health have landed, and so have the fines — a $142,700 fine against the University of California, San Fr

David Brake
Jun 168 min read


Is OPTICS Just a Compliance Tool?
That's a Little Like Asking If a Swiss Army Knife Is Just a Can Opener. One of the things I genuinely value about my role at OPTICS is the opportunity to talk with healthcare leaders. Every conversation teaches me something — about how organizations are structured, where they feel pressure, what keeps people up at night, and how they think about the problems they are trying to solve. A recent conversation has stayed with me — not because it went badly, but because it didn't g

David Brake
May 226 min read


Workplace Violence in Healthcare: Measure It. Manage It. Think Like a Safety Scientist.
A conversation with Lori Severson, Risk Management Consultant, Lockton Companies — and Member, OPTICS for Healthcare Advisory Board

David Brake
May 17 min read


What the DOL's New Federal Audit Means for Healthcare Workplace Violence Prevention
A plain-language overview of the OIG's FY 2026 Audit Workplan — and what it signals for healthcare leaders If you work in healthcare safety, here's a headline worth paying attention to: the Department of Labor's Office of Inspector General (OIG) has announced it will audit OSHA's workplace violence prevention efforts for the first time in 25 years. That number should stop you cold. Twenty-five years. The audit is included in the DOL OIG's Fiscal Year 2026 Audit Workplan — a p

David Brake
Mar 123 min read
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