By Adelisa Perez-Hudgins Before I joined the Quality Institute, I worked as a telemetry nurse on a heart failure unit and later at an intermediate care unit. I closely monitored multiple patients on life-saving medical equipment, administered medications, assisted in bedside procedures, communicated with families, analyzed bloodwork — and many other critical and complex duties. Like anyone in health care, I cared for my patients with the knowledge that I could make a mistake at almost any point in my 12- to 14-hour shifts despite my efforts to be ever-vigilant. You could mislabel a document, o…