Medication errors have severe direct and indirect effects on health care organizational structure, and culture is usually the outcome of breakdowns in a system of care. Many reasons can involve in medical errors such as miscommunication of drug order, mistakes made in medication, surgery, similar medication names, and laboratory results.
According to the Institute of Medicine Report …show more content…
(Chan,2014, p857). The main issue of IT in our health care system that it has its different subsystems which are acting independently and respectively there can 't be proper communication between them. So a failure of one subsystem can be a failure of many other subsystems. By preventing a failure of one subsystem blocks the possibilities of failure of another subsystem. So the purpose of PISA which is an effective mechanism is design the system so that the subsystems are not independent, but