Characterization of commuting accidents that occurred in workers of Portuguese health institutions
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abstract
According to Portuguese legislation in itinere work accident is something that occurs while traveling outside
of the workplace on work travelling between their home and place of work and vice versa. (Law No.
102/2009).
Commuting accidents have been little investigated by the scientific community possibly because they are
associated with multiple circumstances.
These health institutions occupy the fourth place in the scale of industrial accidents, and it has been in these
that were observed the largest average growth rates in the period 1997-2007, 23.27 %. (ACSS, 2009).
OBJECTIVES:
Characterize in itinere workplace accidents in workers of Portuguese public health institutions between 2009
and 2010; Describe the epidemiological profile of the injured; Identify the main causes and consequences of
accidents while traveling.MATERIALS AND METHODS:
Retrospective cross-sectional study using the information of records, anonymously, data based in Excel of
the Central Administration Health Services program, upon request and subsequent approval of the President
of the institution. We have obtained a sample of 999 workers who were hurt during the route between home
and the workplace, in the period from January 1st 2009 to December 2010. Data were selected, transported
and analyzed by the identification number, on the computer program Statistical Package for Social Sciences
version 21.0 for Windows respecting the confidentiality of the participants.RESULTS AND DISCUSSION:
During the study period there were 999 in itinere accidents representing 8.4 % of all accidents occurred
during the 2 years of the study. The year 2010 registered the highest prevalence of notifications, 58.0 % and
ARS Lisbon and Tagus Valley 55.0 %. The most affected professional category was Operational Assistants
Auxiliary Medical Action and Nurses 28.4% , the females 84.4%, among the age group 50-54 years 17.2%,
with service time superior to 10 years 52.0%, below the level of 12th grade education 57.0%, with an
employment contract in public functions 48.2 % and fixed practice hours 53,8%. Although there are no
studies that make comparisons, these data are similar to those found in other studies on occupational
accidents in health institutions and typical accidents. (ACSS, 2009; Martins, Silva and Correia, 2012, Secco
et al, 2008). This rugged profile may be due to the fact professional group of nurses and auxiliary medical
action is mostly made up of women and represent the largest contingent workers in health institutions. A
higher prevalence of accidents on Monday 19.4 %, 1 hour before of onset labor 65.2%, between 07-08 am
44.7%, on day 3 after weekly rest 31.7% and on emergency service 86.6%. Most workers in health
institutions start their work schedule at 8 o’clock, which justifies the high prevalence between o’clock, data that doesn’t agree with the found on typical accidents in other studies, where the highest
prevalence was found between 9 and 12 hours. (ACSS, 2009; Ribeiro, Ribeiro, Jr., 2010; Martins, Silva and
Correia, 2012).
The main cause was the fall of workers 52.8%, fact which may be due to the rush not to be late for work. The
main effects were sprains / strains 27.1% and fractures 12.2%, have reached multiple parts of the body
25.1% and led to absenteeism 70.4% with 27,463 days lost work.
CONCLUSION:
There has high prevalence of in itinere accidents from workers’ falls, with high rates of absenteeism and
consequently with enormous economic, personal, familiar, social and institutional burdens. We emphasize
the need for further research on this issue to deepen the knowledge about in itinere accidents that will lead
to prevention interventions of these accidents, which can be traumatic to the worker.
According to Portuguese legislation in itinere work accident is something that occurs while traveling outside of the workplace on work travelling between their home and place of work and vice versa. (Law No.102/2009).
Commuting accidents have been little investigated by the scientific community possibly because they are associated with multiple circumstances.
These health institutions occupy the fourth place in the scale of industrial accidents, and it has been in these that were observed the largest average growth rates in the period 1997-2007, 23.27 %. (ACSS, 2009).
OBJECTIVES:
Characterize in itinere workplace accidents in workers of Portuguese public health institutions between 2009 and 2010; Describe the epidemiological profile of the injured; Identify the main causes and consequences of accidents while traveling.
MATERIALS AND METHODS:
Retrospective cross-sectional study using the information of records, anonymously, data based in Excel of
the Central Administration Health Services program, upon request and subsequent approval of the President
of the institution. We have obtained a sample of 999 workers who were hurt during the route between home
and the workplace, in the period from January 1st 2009 to December 2010. Data were selected, transported
and analyzed by the identification number, on the computer program Statistical Package for Social Sciences
version 21.0 for Windows respecting the confidentiality of the participants.
RESULTS AND DISCUSSION:
During the study period there were 999 in itinere accidents representing 8.4 % of all accidents occurred
during the 2 years of the study. The year 2010 registered the highest prevalence of notifications, 58.0 % and
ARS Lisbon and Tagus Valley 55.0 %. The most affected professional category was Operational Assistants
Auxiliary Medical Action and Nurses 28.4% , the females 84.4%, among the age group 50-54 years 17.2%,
with service time superior to 10 years 52.0%, below the level of 12th grade education 57.0%, with an
employment contract in public functions 48.2 % and fixed practice hours 53,8%. Although there are no
studies that make comparisons, these data are similar to those found in other studies on occupational
accidents in health institutions and typical accidents. (ACSS, 2009; Martins, Silva and Correia, 2012, Secco
et al, 2008). This rugged profile may be due to the fact professional group of nurses and auxiliary medical
action is mostly made up of women and represent the largest contingent workers in health institutions. A
higher prevalence of accidents on Monday 19.4 %, 1 hour before of onset labor 65.2%, between 07-08 am
44.7%, on day 3 after weekly rest 31.7% and on emergency service 86.6%. Most workers in health
institutions start their work schedule at 8 o’clock, which justifies the high prevalence between 7 and 8.
o’clock, data that doesn’t agree with the found on typical accidents in other studies, where the highest
prevalence was found between 9 and 12 hours. (ACSS, 2009; Ribeiro, Ribeiro, Jr., 2010; Martins, Silva and
Correia, 2012).
The main cause was the fall of workers 52.8%, fact which may be due to the rush not to be late for work. The
main effects were sprains / strains 27.1% and fractures 12.2%, have reached multiple parts of the body
25.1% and led to absenteeism 70.4% with 27,463 days lost work.
CONCLUSION:
There has high prevalence of in itinere accidents from workers’ falls, with high rates of absenteeism and
consequently with enormous economic, personal, familiar, social and institutional burdens. We emphasize
the need for further research on this issue to deepen the knowledge about in itinere accidents that will lead
to prevention interventions of these accidents, which can be traumatic to the worker