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He noted the doctors and nurses on duty, the times of the collapses, and the people in the room at the time. Letby was the only one at each of the four collapses. Yet it still isn't proof that the other staff on the ward were not the cause due to their negligence. It is possible that the standards of nursing were so low that more than one nurse failed these babies. Already a bias is created which might be preferable to admitting other potential realities.