Adobe Flash Player Updater – GETFLASH.EXE
Getflash.exe is the update utility that installs with Adobe's popular Flash player. Adobe now owns Flash as they've purchased the entire Macromedia Product line. You'll find the latest version of the Macromedia Flash player at http://www.adobe.com/shockwave/download/download.cgi?P1_Prod_Version=ShockwaveFlash. You'll find a handy Flash Player FAQ at http://www.adobe.com/products/flash/.
If you absolutely want to make sure you always have the very latest version of the Flash player installed, leave this file in place. In most cases, if you visit a web page that requires a more recent version of the flash player than the one you have installed, you'll be notified and offered the upgrade. So you may consider this file somewhat unnecessary and opt to remove it from your Startup Programs using WinPatrol.
Under some circumstances, the standalone flash player can be used to execute malicious code. More information can be found in the Flash Privacy and Security Center at http://www.adobe.com/products/flashplayer/security/.