The San Francisco Department of Public Health has committed $15 million annually to safety and security improvements following the fatal stabbing of a social worker in December at Zuckerberg San Francisco General Hospital and Trauma Center.

The department announced the commitment April 22 when it released a systemwide safety and security assessment conducted after UCSF social worker Alberto Rangel was attacked by a patient at Ward 86, the hospital’s HIV/AIDS clinic, and died two days later.

The 13-page assessment, which examined security across clinics, health centers, administrative offices, jail health services and field-based programs, identified gaps in threat escalation, communication and security staffing, including failures to consistently identify and manage high-risk patients.

Staff had also raised concerns about the patient’s behavior in the weeks before the attack, according to the assessment and interviews cited by the San Francisco Chronicle.

Since the incident, officials have implemented several immediate measures, including weapons-detection systems and restricted entry at Buildings 80/90, where Ward 86 is located, increased on-site security and the creation of a 24/7 threat management team.

The department said the annual investment will support broader systemwide changes, including standardized safety protocols, expanded staff training, improved incident communication and additional investments in security infrastructure and staff.

The suspect, Wilfredo Tortolero-Arriechi, has pleaded not guilty to a murder charge, according to the San Francisco Chronicle.

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