Introduction: The safety culture of the patient is a contributing factor for the maintenance of the user’s well-being in the health system because, through it, an organized systematization and quality of patient care are obtained, preventing possible intercurrences that can cause damages. Objective: To analyze the Patient Safety Culture (PSC) from the perspective of health professionals at the Reference Hospital of the Upper Juruá River, in the Brazilian Western Amazon. Methods: This is a cross-sectional study developed in a medium-sized public hospital in a municipality in Western Amazonia. The Survey for Patient Safety Culture survey of the Agency for Healthcare Research and Quality was applied to 280 professionals from December 2016 to February 2017. Descriptive analysis of the data and the internal consistency of the instrument were performed. Results: The results indicate the best evaluations in the dimensions of Teamwork in the scopes of the units (60%) and Organizational learning (60%). The aspects with the worst results were the dimensions of non-punitive responses to errors (18%) and frequency of events reported (32%). The internal reliability (Cronbach’s Alpha) analysis of the dimensions ranged from 0.35 to 0.90. Conclusion: The "culture of fear" seems to predominate in this hospital, however, the study showed that there is scope for improvement in all dimensions of CSP. The values of Cronbach’s Alpha presented similarity to the results obtained by the validation process.

The culture of patient safety should be considered a guiding principle for different areas of health. This research presents the results of an analysis on Patient Safety Culture (PSC), according to the perception of health professionals who work in the Psychosocial Care Network, through a descriptive observational cross-sectional study, using the Hospital Survey on Patient Safety Culture in a municipality in the Western Amazon of Brazil. Sixty-nine (69) professionals expressed that the best dimensions evaluated were: “expectations and actions to promote the safety of supervisors and managers” (75%) and “support from hospital management to patient safety” (64%). The worst evaluations were: “non-punitive responses to errors” (27%) and “general perceptions about patient safety” (35%), demonstrating that there still is a culture of fear of causing harm and the need for educational actions on patient safety. In general, all professionals have close contact with patients, regardless of the length on duty; however, the weekly workload and turnover in this sector is leading to a greater chance of errors. The analysis of the internal reliability of the dimensions ranged from 0.12 to 0.89. Only one-third of the respondents scored PSC as “Good” in the studied institutions and 63 out 69 professionals did not report any adverse events in the last 12 months. There are weaknesses in the observed perception of PSC and the obtained results show opportunities and challenges for improvements in the study system.

A doença renal crônica se caracteriza pela perda gradual dos rins em exercerem sua função básica da capacidade de manutenção da homeostase como regular as funções vitais do organismo, afetando no equilíbrio hídrico, acidobásico e eletrolítico, além de participar em funções hormonais e na regulação da pressão arterial (PA). O exercício físico praticado com regularidade torna-se uma ferramenta eficiente para a manutenção da saúde na população em geral. Objetivo: avaliar os efeitos do exercício aeróbico no controle da pressão arterial de pacientes com doença renal crônica em hemodiálise. Método: Trata-se de um estudo descritivo de caráter quantitativo, realizado no Hospital das Clínicas no município de Rio Branco -Acre, em 27 pacientes com doença renal crônica de ambos os sexos, idade superior a 18 anos, que realizavam o tratamento de hemodiálise há seis meses. Após 1 hora de hemodiálise os pacientes iniciavam o exercício aeróbico utilizando cicloergômetro eletromagnético horizontal acoplado na maca. A pressão arterial foi aferida no repouso e a cada 5 minutos até o término do exercício. Os pacientes realizaram três sessões semanais de exercício no período de 12 semanas. Resultados: como principais resultados uma redução de 6,79 mmHg na pressão sistólica e 4,14 mmHg na pressão diastólica. O grupo do turno de 6 horas reduziu 9,75 mmHg na pressão sistólica e 4,85 mmHg na pressão diastólica, já o grupo das 11 horas reduziu 4,74 mmHg na pressão sistólica e 2,73 mmHg na pressão diastólica. Conclusão: que exercício físico aeróbico em cicloergômetro realizado por 30 minutos nas duas primeiras horas de hemodiálise contribuiu no controle da pressão arterial de todos os pacientes, e em relação aos turnos houve diferença entre os pacientes que realizaram o exercício ás 6 horas e ás 11 horas.

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