Objective: To evaluate thepatient safety culturein thePrimary Health Care (PHC). Method: A cross-sectional study with 349 health professionals and PHC managers from a city of Rio Grande do Sul, Brazil. The tool used was Safety Attitudes Questionnaire Ambulatory Version. Data-independent double typing and descriptive and inferential statistical analysis were performed. Results: The total score varied between 3.4 and 8.4 with mean (7.0 ± 1.3), positive evaluation in the "Patient Safety" domain (8.2 ± 2.0). Working on the Family Health Strategy and having five to 12 years of work was significant for positive culture. The recommendations to improve the safety culture were: Implementation of protocols, training, communication improvement and resolvability. Conclusion: The patient safety culture prevailed. Establishing a constructive safety culture with safe behaviors represents factors for improving patient safety in Primary Care settings.

Objective:To analyze compliance with hand hygiene by healthcare professionals in an emergency department unit. Method: This is a longitudinal quantitative study developed in 2015 with healthcare professionals from a university hospital in the state of Rio Grande do Sul. Each professional was monitored three times by direct non-participant observation at WHO's five recommended moments in hand hygiene, taking the concepts of opportunity, indication and action into account. Descriptive and analytical statistics were used. Results: Fifty-nine healthcare professionals participated in the study. The compliance rate was 54.2%. Nurses and physiotherapists showed a compliance rate of 66.6% and resident physicians, 41.3%. When compliance was compared among professional categories, nurses showed greater compliance than resident physicians (OR=2.83, CI=95%:1.09-7.34). Conclusion: Hand hygiene compliance was low. Multidisciplinary approaches could be important strategies for forming partnerships to develop learning and implementation of hand hygiene practices. Hand hygiene compliance of healthcare professionals in an emergency department* Adesão dos profissionais de saúde à higienização das mãos em pronto-socorro Adhesión de los profesionales sanitarios a la higienización de las manos en servicio de urgencias DESCRIPTORS INTRODUCTIONHealthcare-related infections (HCRI) are adverse events that occur in healthcare services worldwide, even when broadly avoidable (1) . A study of the prevalence of HCRI, coordinated by the World Health Organization (WHO) in 55 hospitals in 14 countries in Asia, Europe, the Eastern Mediterranean and the Western Pacific revealed that on average 8.7% of patients experience infections during hospitalization (2) . In developed countries, HCRI rates ranged from 5% to 15% in hospitalized patients, and may have affected from 9% to 37% of patients admitted to intensive care units (ICUs) (2) . In 2004, the World Alliance for Patient Safety launched their First Global Challenge, with a central focus on HCRI prevention. In Brazil, the challenge was entitled "Clean Care is Safer Care." It was implemented in the biennium [2005][2006], aiming at promoting hand hygiene as a sensitive and effective method to prevent infections (2) . Even 10 years later, the proposal focused on patient safety, which points to hand hygiene as a simple and effective measure in the prevention of HCRI still has an impact on current clinical and care practices in different services (3) . Although scientific evidence points to a relationship between an increase in hand hygiene and reduction of HCRI rates, consistency and compliance rates remain low (4)(5) . There are efforts to increase this practice; however, the general rate of hand hygiene compliance has been around 40%, varying from 5% to 81% (6) . Scientific evidence has shown a compliance rate of 20% by ICU healthcare professionals (nurses, physicians and physiotherapists) (7)(8) , 29% in emergency rooms (9) , and 40% among medical students in open units (10) , confirmin...

Results can be used to plan and organize actions, given the low scores in relation to the safety atmosphere, management and stress perception.

Introdução: O câncer é um problema de saúde pública e a prevenção e identificação precoce são requisitos importantes para a redução das taxas de morbidade e mortalidade. Objetivo: Avaliar o conhecimento acerca da doença oncológica e práticas de cuidado com a saúde anterior ao diagnóstico de câncer em pacientes assistidos em um Centro de Alta Complexidade em Tratamento de Câncer. Método: Estudo transversal descritivo realizado com 480 pacientes em tratamento oncológico atendidos no período de abril a dezembro de 2011. Resultados: A média de idade dos entrevistados foi de 58,23 anos±13,11, adultos 51,7%, do sexo feminino 53,73%, casados 66,9%, de cor branca 88,3%, escolaridade 68,4% e renda baixa 63,1%. Em relação a doenças oncológicas, 54% dos entrevistados as desconhecem, 80% procuram pelos serviços de saúde devido à presença de sinais ou sintomas, 72% têm a preocupação de cuidar de sua saúde em geral e consideram como cuidados com a saúde realizar consulta médica ou de enfermagem. Conclusão: Faz-se necessário o desenvolvimento de ações intervencionistas voltadas para a educação em saúde, estabelecendo um vínculo entre profissionais e usuários.

Objective: To assess the patient safety culture among the workers of a hospital institution in southern Brazil. Method: This is a cross-sectional study, which was performed with 630 hospital workers, at Santa Rosa, Rio Grande do Sul, Brazil, through the Safety Attitudes Questionnaire tool, in the month of April 2017. Results: We found positive scores in all the safety culture domains, except for the perceived stress domain. Conclusion: Job satisfaction and teamwork spirit showed better scores for nursing and health professionals, when compared to the support team. Schooling, gender, operation time and the choice of workplace positively influenced the safe atmosphere.