In a different study in 44 hospitals of Pennsylvania in 2006, it was also concluded that for enhancement of patient safety, structural and organizational reforms and such as improvements in staff training programs, management information system and improvement of workplace situations is necessary, and this can only be is successfully asbieved where it is fully supported by the hospital management and well-funded [35]. In all hospitals, a safety guideline needs to be designed and supported by high ranking officials and the ultimate goals and objectives need to be clearly defined [36].