Objective: To evaluate the culture of patient safety in a mental health service. Method: Cross-sectional study conducted with health professionals in a mental hospital, by applying the Safety Attitudes Questionnaire (SAQ). Descriptive and inferential analyses were performed. Results: One-hundred and three professionals participated in the study, with female predominance (64.1%) and time of performance equal to or greater than 21 years (32.4%). The nursing professionals of technical level and with statutory work regime were the most participative, 54.4% and 52% respectively. The total score was 69 points. The domain that reached the highest score was Job satisfaction (80 points) and the lowest was Working conditions (57 points). The statutory professionals and those with longer professional experience obtained better scores in the perception of safety culture. Conclusion: The result of safety culture was below the recommended, indicating the need for strengthening this construct in mental health hospitals.

Objective: to identify the drug interactions among institutionalized elderly. Method: retrospective and documentary study with a quantitative approach developed in two Long Stay Institutions for Elderly, located in northeastern Brazil. Drug interactions were identified by using Drug-Reax® software from the Micromedex database, and they were classified by severity, start time, and documentation. Result: in the 286 analyzed prescriptions, 136 drug interactions were detected in both institutions, most of them classified as severe. The average number of drugs prescribed by the elderly was 4.5. In the analysis of Pearson's correlation, the number of drug interactions showed a statistically significant correlation with the time of institutionalization and with the amount of drugs administered on the day. Conclusion and implications for practice: the high consumption of drugs and serious drug interactions detected with significant clinical repercussions was evidenced in the study. Knowledge of these interactions is essential for the establishment of preventive safety measures in pharmacotherapy.

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Objective: to identify the drug interactions among institutionalized elderly. Method: retrospective and documentary study with a quantitative approach developed in two Long Stay Institutions for Elderly, located in northeastern Brazil. Drug interactions were identified by using Drug-Reax® software from the Micromedex database, and they were classified by severity, start time, and documentation. Result: in the 286 analyzed prescriptions, 136 drug interactions were detected in both institutions, most of them classified as severe. The average number of drugs prescribed by the elderly was 4.5. In the analysis of Pearson's correlation, the number of drug interactions showed a statistically significant correlation with the time of institutionalization and with the amount of drugs administered on the day. Conclusion and implications for practice: the high consumption of drugs and serious drug interactions detected with significant clinical repercussions was evidenced in the study. Knowledge of these interactions is essential for the establishment of preventive safety measures in pharmacotherapy.

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Objetivo: Investigar a adesão às práticas seguras, pelos profissionais da saúde, durante o parto. Método: Estudo descritivo, transversal de abordagem quantitativa, desenvolvido nos meses de agosto a outubro de 2018, em um hospital de nível terciário e de ensino no Nordeste brasileiro. Participaram da pesquisa os profissionais da saúde, de plantão na sala de parto, durante o período da coleta dos dados. A coleta de dados foi realizada por meio do Instrumento de Observação para Partos Seguros da OMS para monitorizar a aplicação das práticas essenciais antes da expulsão e logo após o parto. Resultados:  Os resultados permitiram identificar taxas satisfatórias de boas práticas de segurança do paciente conforme recomendado pela Organização Mundial da Saúde. Considerou-se que há atitudes profissionais favoráveis à verificação de Segurança no Parto o que resulta de forma direta na redução de eventos adversos evitáveis na assistência materna e perinatal. Conclusão: O instrumento destacou-se como uma estratégia que pode fortalecer a cultura de segurança do paciente na instituição, pois permite trabalhar mais a adesão dos profissionais às práticas seguras, e requer contínuo treinamento dos profissionais para melhores resultados.

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