Healthcare Serial Poisoning

  • Michael FarrellEmail author


This chapter defines healthcare serial poisoning and considers estimates of its prevalence. A historical review indicates the occupations of perpetrators and the range of jurisdictions involved. Several cases are examined: German nurse Niels Högel who killed many hospital patients; Kimberly Clark Saenz of Massachusetts who poisoned dialysis patients by putting bleach into their IV lines; US nurse Charles Cullen who confessed to killing more than 30 hospital patients; and Dr Harold Shipman, a UK physician who killed hundreds of his patients over decades. These are discussed in relation to identifying ‘red flags’ of concern, Situational Crime Prevention (SCP), and means, motive, opportunity, location, and perpetrator-victim relationships.


Healthcare serial poisoning Niels Högel Kimberly Clark Saenz Charles Cullen Harold Shipman 


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Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.Stoke Lacy, HerefordshireUK

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