Patient safety culture begins with a healthcare environment that is free of injury and harm caused by the process of healthcare. Patient safety culture is a global health concern, affecting patients in all health care settings, whatever in developed or developing countries. Research studies have shown that an estimated average of 10% of all inpatient admissions result in a degree of accidental patient harm. It is estimated that up to 75% of these gaps in health care delivery are preventable. In addition to human suffering, unsafe health care exacts a heavy economic peal. Definitely, it is estimated that between 5% and 10% of expenditure on health is due to unsafe practices that result in patient harm. Most of this is due to system failures rather than the actions of individuals (WHO, 2013). Perception of quality of care given in the unit within the work environment (Kramer, Schmalenberg & Maguire, 2004).

Safety culture is a term often used to describe the way in which safety is managed in the workplace, and often reflects "the attitudes, beliefs, perceptions and values that employees share in relation to safety" (Cox and Cox, 1991).

The World Health Organization (WHO) ‘’defines patient safety practices as processes or structures that reduce the probability of adverse events resulting from exposure to the health care system across a range of diseases and procedures’’ (WHO, 2014).

Patient Safety Culture is “the product of individual and group values, attitudes,