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Work accident: from sociotechnical analysis towards social construction of changes


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)

Articles published in Pesquisa FAPESP Magazine about the research grant:
La contrucción de la salud 
Health under construction 
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Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ANGELA PAULA SIMONELLI; JOSÉ MARÇAL JACKSON FILHO; RODOLFO ANDRADE GOUVEIA VILELA; ILDEBERTO MUNIZ DE ALMEIDA. Influência da segurança comportamental nas práticas e modelos de prevenção de acidentes do trabalho: revisão sistemática da literatura. Saúde e Sociedade, v. 25, n. 2, p. 463-478, . (12/04721-1)
MANOELA GOMES REIS LOPES; RODOLFO ANDRADE DE GOUVEIA VILELA; MARCO ANTÔNIO PEREIRA QUEROL. Anomalias e contradições do processo de construção de um aeroporto: uma análise histórica baseada na Teoria da Atividade Histórico-Cultural. Cadernos de Saúde Pública, v. 34, n. 2, . (15/01311-5, 12/04721-1)
ALISTAIR GIBB; MANOELA GOMES REIS LOPES; RODOLFO ANDRADE DE GOUVEIA VILELA; ILDEBERTO MUNIZ DE ALMEIDA. A experiência bem-sucedida em saúde e segurança na construção do Parque Olímpico de Londres 2012: uma entrevista com Alistair Gibb. Revista Brasileira de Saúde Ocupacional, v. 43, . (12/04721-1)
MELINA TRENTO VENDRAMETO TESSARRO; MARCO ANTONIO PEREIRA QUEROL; ILDEBERTO MUNIZ DE ALMEIDA. Desafios da reabilitação profissional desenvolvida pelo Instituto Nacional do Seguro Social (INSS): uma perspectiva histórico-cultural. Revista Brasileira de Saúde Ocupacional, v. 47, . (12/04721-1)
JOSÉ ROBERTO PEREIRA NOVAES; JOSÉ MARÇAL JACKSON FILHO; ANGELA PAULA SIMONELLI. Olhar etnográfico e intervenção social na produção e uso de imagens: entrevista com José Roberto Novaes (Beto Novaes). Revista Brasileira de Saúde Ocupacional, v. 44, . (12/04721-1)
JOSÉ MARÇAL JACKSON FILHO; EDUARDO GARCIA GARCIA; HONASSES GUARDIOLA DAVID; SANDRA RENATA CANALE DURACENKO; ANGELA PAULA SIMONELLI. Acidentes de trabalho e atuação do Centro de Referência em Saúde do Trabalhador nas páginas do Jornal de Piracicaba entre 2007 e 2014. Interface (Botucatu), v. 23, . (12/04721-1)

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