The recording of fatal work-related injuries in information systems in Brazil

Batista, Adriana Galdino; Santana, Vilma Sousa; Ferrite, Silvia

doi:10.1590/1413-81232018243.35132016

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ARTICLE • Ciênc. saúde colet. 24 (3) • Mar 2019 • https://doi.org/10.1590/1413-81232018243.35132016 copy

The recording of fatal work-related injuries in information systems in Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aims to identify information systems having fatal work-related (ATF) data in Brazil, describing their characteristics, flows and barriers to information quality. Using a documental research approach, we found: the Mortality Information System (SIM), the Hospital Admission Register from the Unified Health System (SIH-SUS), the Notifiable Diseases Information System (SINAN) and the Violence and Injuries Surveillance Program (VIVA) from the Health Ministry; the Work-related Injuries Reporting System (SISCAT) of the Ministry of Social Insurance; and the Annual Report of Social Information (RAIS), Ministry of Labour and Employment. A lack of key common variables limits the construction of a single database composed by all ATF recorded cases. From several barriers identified, the most relevant for data quality was the lack of work-relatedness recognition and recording, a task performed by the health team.

Fatal work-related injuries; Information systems; Brazil

Institution responsible	Information system	Target population	Source	Fields of interest for the identification of ATFs			Type of access	Formats	Time period

				ICD codes	RRelationship with work	Outcome
Ministry of Health	SIM	Total population	Death Certificate (DO)	<causabas> Underlying and associated cause of death	<acidtrab> Work Injury1-Yes; 2-No; 9-Unknown.	-------	Public / DATASUS	DBC	1979 to 2013
Ministry of Health	SIH/SUS	Population admitted to SUS or contracted hospitals	Hospital Medical Records (AIH)	<diag_pri> Main Diagnosis Code <diag_sec> Secondary Diagnosis Code	<car_int> Nature of hospitalisation 1-Elective; 2-Emergency; 3-Injury in workplaces or on duty; 4-Work-related injury when commuting; 5- Other types of vehicle related injury; 6- Other type of poisoning injury	<apres> Patient status 1-Discharge; 2-Remain; 3-Transfer; 4-Death; 5-Other reasons; 6-Birth procedure.	Public / DATASUS	DBC, CSV	1992 to 2015
	SINAN – Exogenous poisoning	Exogenous poisoning cases	Exogenous poisoning investigation sheet	-------	<doenca_tra> Exposure related to work/occupation 1-Yes; 2-No; 9-Unknown	<evolucao> Case evolution 1-Cure without sequelae; 2- Cure with sequelae; 3-Death by exogenous poisoning; 4-Other cause of death; 5-Lost follow-up; 9-Unknown.	Public / MS and CCVISAT	MS: CSV CCVISAT: SAS, XLS and DBF	MS: 2007 to 2015 CCVISAT: 2006 to 2012
	VIVA – component VIVA/SINAN	Cases of violence	INAN form specific to the investigation of domestic, sexual and other forms of violence	-------	<rel_trab> Work-related violence 1-Yes; 2-No; 9-Unknown	<evolucao> Case status 1- Discharged; 2-Evasion/Escape; 3-Death by Violence; 4-Other cause of death; 9-Unknown.	Public / DATASUS, completion of required form	CSV	2009 to 2011
Ministry of Labour and Employment (MTE)	RAIS	Population of formally registered workers, with Employment Record Card	RAIS Reporting/CAGED Reporting	-------	-------	<caus_afast> Reason for job contract ending 60-Death; 62- Death due to work-related injury which occurs in the workplace or on duty; 63-Work-related death due to injury when commuting; 64-Death due to professional illness; and Others	Password protected / MTE requirement	CSV, XLS, PDF, RTF	1985 to 2013

Institution responsible	Information system	Covered population	Source	Fields of interest for the identification of ATFs		Type of access	Formats	Time period

				ICD codes	Outcome
Ministry of Health	SINAN – Severe Work Injury	Economic Active Occupied Population (PEAO)	Severe work injuries investigation form	-------	<evolucao> Outcome 1-Cure; 2-Temporary incapacity; 3-Partial incapacity; 4-Permanent, total incapacity; 5-Death due to severe work accident; 6-Other cause of death; 7-Other; 9-Unknown.	Public / CCVISAT	SAS, XLS, DBF	2006 to 2012
Ministry of Health	SINAN – Work Injury involving Exposure to Biological Material	Health workers	Investigation form for work injuries involving exposure to biological material	-------	<evolucao> Outcome 1-Discharged with serological conversion; 2- Discharged without serological conversion; 3-Patient discharged - negative serological source; 4-Abandoned treatment; 5-Death due to injury involving exposure to biological material; 6= Other cause of death; 9=Unknown.	Public / CCVISAT	SAS, XLS, DBF	2006 to 2012
Ministry of Social Security	SISCAT	Population covered by the work-related injuries and diseases insurance	Work injury communication form (CAT)	Type:¹ 1-Work-related injury in workplace or on duty; 2-Work-related illness; 3-Work-related injury when commuting. ICD	Did death occur?¹ 1-Yes; 2-No	Restricted / DATAPREV, Statistical Yearbook of Labour Accidents, (AEAT²)	CSV, XLS, PDF, XML, HTML, RTF	1999 to 2013

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

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[1] Collaborations

AG Batista defined the research question and methodological strategy, raised the documents and extracted the databases, analyzed the records and wrote the manuscript. VS Santana, was the main guideline of the study, collaborating in the problematization of the study question, in the literature review and definition of the methodological approach, theoretical aspects and in the drafting of the manuscript. S Ferrite, was comastermind contributing in the construction of the architecture of the general and bibliometric study, especially, and in the writing.