Aides rarely had a second person to assist in turning her mother. So Webster helped. One night, an aide brought in medicine. As usual, Webster asked what it was. Sure enough, it was for a patient in another room.
Mistakes can happen in any hospital.
But nurses say it's more likely to happen when they're overloaded. Or forced to work double shifts because there are not enough nurses scheduled to care for patients. Your body starts to shut down because you're tired. It's like aviation. A near miss is still a near miss.