Analysis of Notifications of Work-Related Health Conditions in SINAN/RN: A Quality Improvement Study.
Surveillance of the Workers Health; Occupational Accidents Registry; Total Quality Management
Introduction: Continuous monitoring and analysis of notification forms highlight the urgent need to improve the quality of the recording process for notifications related to worker health. Given the prevalence of incomplete records at both national and regional levels, the question arises: what are the main difficulties health professionals face when filling out notification forms for work-related health issues in the state of Rio Grande do Norte? Objective: This study aims to conduct a quality improvement cycle to standardize the completion of mandatory notification forms regarding occupational health issues. Methods: This is a quasi-experimental study with a quantitative approach and no control group, conducted within the Rio Grande do Norte State Department of Public Health. The study population comprised all records of workplace accidents notified between January 2024 and December 2025 in the 7th Health Region. Data collection took place at the central level of the Rio Grande do Norte State Department of Public Health (SESAP/RN) by accessing the database of the Notifiable Diseases Information System (SINAN), managed by the Epidemiological Surveillance Sub-coordination Office (SUVIGE). Data were provided in Excel spreadsheets by the technical professional legally responsible for SINAN at SESAP/RN. Only variables essential to the study were provided: notification number, notifying unit, occupation, CNPJ (Corporate Taxpayer ID), CNAE (Economic Activity Code), and notification date. The following stages of the quality improvement cycle were carried out: 1) Prioritization and identification of opportunities; 2) Analysis of the causes of problems; 3) Definition of quality criteria; 4) Development and implementation of interventions. Data were tabulated using TabWin and analyzed in Excel spreadsheets. Descriptive analysis was performed, covering absolute and relative frequencies (%) and measures of central tendency (mean and median). Results were presented in tables and graphs. Preliminary Results: A total of 2,616 notification forms regarding work-related health conditions were evaluated from 13 strategic reporting units located in the 7th Health Region of Rio Grande do Norte; these included hospital services within state and municipal networks as well as emergency care units with the highest volume of notifications for work-related health conditions.