package variables are global, which means visible everywhere.
Close — fully-qualified names are visible everywhere, but most "global" variables are implicitly scoped to the current package.
File-scoped lexicals are still lexically-scoped. They aren't seen outside the file.
If a 1:1 correspondence between files and packages (as is convention) is maintained, those are equivalent, with the exception that you can refer to a package "global" variable from elsewhere if you specifically do so. In terms of "accidents", the risks for a package variable and file-scope lexical are very similar.