Abstract
Work-related accidents are the most important harms to workers' health in Brazil. Official data show a true epidemic with major costs in human, social and financial terms to companies and government. Work accidents are complex, multi-causal events, determined by causes in the sphere of work's organization and processes; this statement goes against the paradigm of behavioral safety, that assign them to workers' mistakes, in an approach that hinders their prevention. Based on the team's experience and knowledge, arising from integrated research, educational and community extension activities, the following objectives are set: (1) to build, test and implant new technologies to obtain diagnose associated with the change of dangerous work situation classified as priorities. (2) To improve SIVAT - Sistema de Vigilância em Acidente de Trabalho (Surveillance System of Work-related Accidents) in order to make it able to relate data registered in hospital notification with other databases; to project an information room able to produce accident indicators according to users' requirements, useful as tools for priority-oriented surveillance actions. (3) To investigate therapeutic paths and to estimate costs of two types of accident victims - severely injured and people under-18 years old - in the public health system (SUS), contributing to improve comprehensive care to these harms in public health services. (4) To investigate the concepts adopted by law when analyzing accidents' responsibilities and the role of this conceptions in prevention of new accidents. (5) To upgrade the existing "Accidents Forum" so that it works as a permanent network for producing, training and spreading the organizational approach. Strategy: The project was structured in a way that grants linkage and rapprochement of the objectives through the exchange, co-management and mutual strengthening inside research team, seen as able to incorporate people as actors in the process of research - transformation. Methods: a variety of activity-centered methods for in-depth study of past accidents will be employed in order to understand risk determinants (Model of Analysis and Prevention of Accidents, Ergonomic Work Analysis, Collective Work Analysis); this data will form the basis for the Change Laboratory (LM), focused on redesign and change of dangerous work situations. As a meta tool, LM will also be used in restructuring and improving health services for accident victims in the public health system. Expected results: creation of a database and new technologies to diagnostics of the relationship between work and the risk of accidents, in association to a social construction of effective changes and redesign of pathogenic, dangerous work situations; the enlargement of research community with the inclusion of involved subjects and social actors; the design of an information room based in the integration of SUS database with other databases, able to produce friendly indicators of users' interests in order to help priority-oriented surveillance actions; knowledge about the therapeutic trajectories of severely-injured accident victims and of under-18 years old, as well as the estimate of costs for these services and the improvement of comprehensive care to accident victims in the SUS network; knowledge of legal doctrines that are being used as basis for law decisions regarding work-related accidents and its possible influences on the preventive practices for these events; the upgrading of the Accidents Forum as a continuing education device for producing and propagation of systemic, organizational safety approach in substitution of the behavioral approach; training of professionals who can actively teach accident analysis and prevention techniques; knowledge propagation through publishing scientific papers; the upgrading of partnerships with national and international research centers for accident analysis and prevention. (AU)
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