nt associated with healthcare According to the Agency for Healthcare Research and Quality (2017), adverse events that are preventable occurs when the standard of care have not been met. Banihashemi et al in 2015, errors that can be prevented have led to serious safety events resulting in the death of patients. Patient safety culture is a component of organisational culture that involves shared beliefs, attitudes, values norms and behavioural characteristics of employees and influences staff member attitude and behaviours in relation to their organisations ongoing patient performance( Palmieri et al 2010 ). A number of patient safety questionnaires on approaches or strategies has been used within healthcare organisations to measure performance for yardstick, diagnosis and planning of internal quality improvement and in recent times have been used to examine the effectiveness of strategies designed to improve patient safety. Haynes et al in 2011 reported that positive patient safety approach has been reported to be associated with enhanced patient safety, Singer et al in 2012 consequently supported that aiming practice change through patient safety approach is considered to be a key tactic for solidification and enhancing of patient safety and outcomes in hospitals. Renata et al in their study in 2013 went further to support the work of Haynes et al by stating that it is important that interest to introduce approaches for improving patient safety is well-versed by producing of effectiveness. There has been recent research focused on the establishment of a patient safety approach within the hospital system (Ulrich & Kear, 2014). Ammouri, Tailakh, Muliira, Geethakrishnan, Phil and Al Kindi in 2015, suggested that patient safety culture is related to teamwork and handoffs. Feng et al in 2012 suggests that staffing levels and leadership are factors that have been associated with maintaining patient safety. In 2014, Alenius et al examined how the work environme