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all these flags apply to the case. in fact, not only that she didn t necessarily make all the comments, but she was quite well integrated in the hospital. she was very good at what the american sociologist erwin goffman would say is impression management. she was very good at manipulating the impressions of others of her to the extent where at some point, as we ve all read in print media, she was the face of a public funding campaign for the wards. so she was actually deflecting attention away from her, which has made it ever so more difficult to think of her as being capable of such violence. and briefly, dan, what can we take from this incidence? what learnings are there to ensure that there aren t other undetected cases such as this? of course, i think the point is that we should focus on prevention rather than on reaction when it s too late. and i suppose we need to kind of foster a culture of whistle blowing. we need to understand that even though the great majority of nurses, 99%