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Model of Analysis and Prevention of Accidents - MAPA: tool for operational health surveillance

机译:分析和预防事故的模型-MAPA:运行状况监视工具

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The analysis of work-related accidents is important for accident surveillance and prevention. Current methods of analysis seek to overcome reductionist views that see these occurrences as simple events explained by operator error. The objective of this paper is to analyze the Model of Analysis and Prevention of Accidents (MAPA) and its use in monitoring interventions, duly highlighting aspects experienced in the use of the tool. The descriptive analytical method was used, introducing the steps of the model. To illustrate contributions and or difficulties, cases where the tool was used in the context of service were selected. MAPA integrates theoretical approaches that have already been tried in studies of accidents by providing useful conceptual support from the data collection stage until conclusion and intervention stages. Besides revealing weaknesses of the traditional approach, it helps identify organizational determinants, such as management failings, system design and safety management involved in the accident. The main challenges lie in the grasp of concepts by users, in exploring organizational aspects upstream in the chain of decisions or at higher levels of the hierarchy, as well as the intervention to change the determinants of these events.
机译:与工作有关的事故的分析对于事故的监视和预防很重要。当前的分析方法试图克服还原论者的观点,这些观点将这些事件视为由操作员错误解释的简单事件。本文的目的是分析“事故分析和预防模型”(MAPA)及其在监控干预措施中的使用,适当突出使用该工具的经验。使用描述性分析方法,介绍了模型的步骤。为了说明贡献和/或困难,选择了在服务范围内使用该工具的情况。通过提供从数据收集阶段到结论和干预阶段的有用概念支持,MAPA集成了已在事故研究中尝试过的理论方法。除了揭示传统方法的缺点之外,它还有助于确定组织的决定因素,例如事故中涉及的管理失败,系统设计和安全管理。主要挑战在于用户对概念的掌握,探索决策链上游或层次结构更高层级的组织方面,以及干预措施来更改这些事件的决定因素。

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