9º World Congress on Health Information and Libraries

Salvador, Bahia - Brazil, September, 20 to 23 - 2005


4th Regional Coordination Meeting of the VHL

September, 19 to 20 - 2005

System of notification and inquiry of occupational accidents: contemplating the complexity of the labor territories


The information contained in the sources registers of accidents (CAT and SINAN) are insufficient to demonstrate the complexity of this heterogeneous event.  The development of nets of information for the analysis of the work injuries, the construction of morbi-mortality pointers and the overcoming of the sub-notification can come to be strategies that make possible the understanding of this reality.
Being thus, the NIST (Nucleus of Information in Worker’s Health) agency of the Coordination of Worker’s Health of the Oswaldo Cruz Foundation responsible for the analysis of the information, comes developing the RISTA (Net of Information in Health, Work and Environment). Amongst the developed interfaces, it is of notification and the inquiry of workers injuries, whose objective is the register and the analysis of the workers injuries occurred with all the workers of the Fiocruz, independent of the labor situation.  This interface was conceived under the conceptual logic of the AIPA (analysis to int erdisciplinar and participative of accidents) that it encloses, the register of the accidents, as also its consequences on the immediate and underlying workers, causes and the understanding of the labor territory. The used platform of technological development is Java with the applications based on the architecture in J2EE, in accordance with the line of direction of the National Politics of Information and Computer Science in Health.  An essential question, pointed for the Politics and adopted by the RISTA, is the necessity of an only repository of data, the table inexistence duplicates and the standardization of the information.
The standardization prevents redundancies and inconsistencies of the data, besides propitiating the integration with other systems and databases.  As vocabulary standard, we will use the Cid-10, tables of causing factors of accidents of the Ministry of the Work and the recommended ones in the Brazilian Norm of Industrial accidents (NBR 14,280).  These tables had been propo sals due to inexistence, in Brazil, of standards consolidated in the area of the health that give to account underlying causes of the occupational accidents.  The communication standard will be the praised one for Committee ISO of Computer science in Health (eXtensible Markup Language).
One of the future challenges of this system is to contemplate the intrinsic subjectivity to the accident and this consequences; to surpass the inexistence of standards of quality for representation of the information and to understand the ambiguity of the relations between who fill the notification, take care of to the victim and the victim, while protagonist of the event.