Peter Buckle | Royal College of Art (original) (raw)
Papers by Peter Buckle
Age and Ageing
Introduction Care homes have been severely affected by the SARS-CoV-2 pandemic. Rapid antigen tes... more Introduction Care homes have been severely affected by the SARS-CoV-2 pandemic. Rapid antigen testing could identify most SARS-CoV-2 infected staff and visitors before they enter homes. We explored implementation of staff and visitor testing protocols using lateral flow devices (LFDs). Methods An evaluation of a SARS-CoV-2 LFD-based testing protocol in 11 care homes in Liverpool, UK, including staff and visitor testing, plus a qualitative exploratory study in nine of these homes. The proportion of pilot homes with outbreaks, and outbreak size, were compared to non-pilot homes in Liverpool. Adherence to testing protocols was evaluated. Fifteen staff were interviewed, and transcript data were thematically coded using an iterative analysis to identify and categorize factors influencing testing implementation. Results In total, 1,638 LFD rapid tests were performed on 407 staff. Protocol adherence was poor with 8.6% of staff achieving >75% protocol adherence, and 25.3% achieving ge\gege...
Age and Ageing
Introduction Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of ou... more Introduction Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of outbreaks and enable timely care. This study aimed to examine the usability and test performance of a point of care polymerase chain reaction (PCR) test for detection of SARS-CoV-2 (POCKITTM Central) in care homes. Methods POCKITTM Central was evaluated in a purposeful sample of four UK care homes. Test agreement with laboratory real-time PCR and usability and used errors were assessed. Results No significant usability-related hazards emerged, and the sources of error identified were found to be amendable with minor changes in training or test workflow. POCKITTM Central has acceptable sensitivity and specificity based on RT-PCR as the reference standard, especially for symptomatic cases. Asymptomatic specimens showed 83.3% (95% confidence interval (CI): 35.9–99.6%) positive agreement and 98.7% negative agreement (95% CI: 96.2–99.7%), with overall prevalence and bias-adjusted kappa (PABAK) ...
Journal of Patient Safety and Risk Management
Journal of Patient Safety and Risk Management
Expert review of medical devices, Jan 20, 2017
The slow adoption of innovation into healthcare calls into question the manner of evidence genera... more The slow adoption of innovation into healthcare calls into question the manner of evidence generation for medical technology. This paper identifies potential reasons for this including a lack of attention to human factors, poor evaluation of economic benefits, lack of understanding of the existing healthcare system and a failure to recognise the need to generate resilient products. Areas covered: Recognising a cross-disciplinary need to enhance evidence generation early in a technology's life cycle, the present paper proposes a new approach that integrates human factors and health economic evaluation as part of a wider systems approach to the design of technology. This approach (Human and Economic Resilience Design for Medical Technology or HERD MedTech) supports early stages of product development and is based on the recent experiences of the National Institute for Health Research London Diagnostic Evidence Co-operative in the UK. Expert commentary: HERD MedTech i) proposes a s...
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Available data show that work stress and work-related musculoskeletal disorders (WMSDs) are the l... more Available data show that work stress and work-related musculoskeletal disorders (WMSDs) are the leading occupational health burdens in Member States of the European Union. Cross-sectional data do no provide a clear indication of the impact of work stress upon WMSDs. Studies have used different indicators for stress and this makes comparison between them more difficult. Similar workplace risk factors, including physical and psychosocial, seem to be associated with work stress and WMSDs. Stress has been implicated in the pathology of WMSDs but many hypotheses require further investigation. There is some epidemiological evidence to support work stress reactions as a predictor of WMSDs and a weighted reciprocal relationship may also exist between these two health problems. However, more longitudinal studies are required to clarify this issue.
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
The report has drawn together knowledge from an extensive set of sources. These include the conte... more The report has drawn together knowledge from an extensive set of sources. These include the contemporary scientific literature, the views of an international expert scientific panel, current practice, employer and employee representatives and a number of official authorities from member states of the European Union (EU). The need for EU consensus regarding diagnostic criteria is identified. Size of the problem across EU member states has been reported. Understanding of the biological mechanisms of WRULDs varies greatly and it is dependent on the specific disorder. A strong positive relationship between some WRULDs and the performance of work, especially where workers were highly exposed to workplace risk factors is noted. Identifying workers in the extreme exposure categories should become a priority for any preventative strategy. Current scientific knowledge and existing general advice in European health and safety directives, etc., already provide some strategies for preventing WR...
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
A large-scale ergonomics intervention that included policy, work organisation, focus groups, equi... more A large-scale ergonomics intervention that included policy, work organisation, focus groups, equipment and training was implemented in an acute hospital in the UK for an 18 month period. The intervention was evaluated in terms of exposure to back pain risk factors using the Portable Ergonomic Observation (PEO) method. Sixteen nurses were observed for a full-shift before and after the intervention to identify nursing tasks and the proportion that each comprised in a typical nursing shift. Tasks were then described in terms of posture and load using observation data collected from 48 nurses before and after the intervention. Results showed a similar proportion of a shift was spent performing nursing tasks before and after the intervention and that tasks were affected differentially by the intervention.
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Objectives - To investigate the possible interactions between physical and psychosocial risk fact... more Objectives - To investigate the possible interactions between physical and psychosocial risk factors in the workplace that may be associated with self-reported neck and upper-limb musculoskeletal disorder symptoms. Methods - 891 of 1514 manual handlers, delivery drivers, technicians, customer services computer operators and general office staff reported physical and psychosocial working conditions and neck and upper-limb disorder symptoms using a self-administered questionnaire (59% return rate). Of the 869 valid questionnaire respondents, 564 individual workers were classified in to one of four exposure groups: high physical - high psychosocial, high physical - low psychosocial, low physical - high psychosocial and low physical - low psychosocial. Results - The highest increase in risk was found in the high physical - high psychosocial exposure group for upper limb disorders. In the analyses, a departure from an additive risk model was observed for the upper-limb outcome definition...
Age and Ageing
Introduction Care homes have been severely affected by the SARS-CoV-2 pandemic. Rapid antigen tes... more Introduction Care homes have been severely affected by the SARS-CoV-2 pandemic. Rapid antigen testing could identify most SARS-CoV-2 infected staff and visitors before they enter homes. We explored implementation of staff and visitor testing protocols using lateral flow devices (LFDs). Methods An evaluation of a SARS-CoV-2 LFD-based testing protocol in 11 care homes in Liverpool, UK, including staff and visitor testing, plus a qualitative exploratory study in nine of these homes. The proportion of pilot homes with outbreaks, and outbreak size, were compared to non-pilot homes in Liverpool. Adherence to testing protocols was evaluated. Fifteen staff were interviewed, and transcript data were thematically coded using an iterative analysis to identify and categorize factors influencing testing implementation. Results In total, 1,638 LFD rapid tests were performed on 407 staff. Protocol adherence was poor with 8.6% of staff achieving >75% protocol adherence, and 25.3% achieving ge\gege...
Age and Ageing
Introduction Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of ou... more Introduction Reliable rapid testing for COVID-19 is needed in care homes to reduce the risk of outbreaks and enable timely care. This study aimed to examine the usability and test performance of a point of care polymerase chain reaction (PCR) test for detection of SARS-CoV-2 (POCKITTM Central) in care homes. Methods POCKITTM Central was evaluated in a purposeful sample of four UK care homes. Test agreement with laboratory real-time PCR and usability and used errors were assessed. Results No significant usability-related hazards emerged, and the sources of error identified were found to be amendable with minor changes in training or test workflow. POCKITTM Central has acceptable sensitivity and specificity based on RT-PCR as the reference standard, especially for symptomatic cases. Asymptomatic specimens showed 83.3% (95% confidence interval (CI): 35.9–99.6%) positive agreement and 98.7% negative agreement (95% CI: 96.2–99.7%), with overall prevalence and bias-adjusted kappa (PABAK) ...
Journal of Patient Safety and Risk Management
Journal of Patient Safety and Risk Management
Expert review of medical devices, Jan 20, 2017
The slow adoption of innovation into healthcare calls into question the manner of evidence genera... more The slow adoption of innovation into healthcare calls into question the manner of evidence generation for medical technology. This paper identifies potential reasons for this including a lack of attention to human factors, poor evaluation of economic benefits, lack of understanding of the existing healthcare system and a failure to recognise the need to generate resilient products. Areas covered: Recognising a cross-disciplinary need to enhance evidence generation early in a technology's life cycle, the present paper proposes a new approach that integrates human factors and health economic evaluation as part of a wider systems approach to the design of technology. This approach (Human and Economic Resilience Design for Medical Technology or HERD MedTech) supports early stages of product development and is based on the recent experiences of the National Institute for Health Research London Diagnostic Evidence Co-operative in the UK. Expert commentary: HERD MedTech i) proposes a s...
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Available data show that work stress and work-related musculoskeletal disorders (WMSDs) are the l... more Available data show that work stress and work-related musculoskeletal disorders (WMSDs) are the leading occupational health burdens in Member States of the European Union. Cross-sectional data do no provide a clear indication of the impact of work stress upon WMSDs. Studies have used different indicators for stress and this makes comparison between them more difficult. Similar workplace risk factors, including physical and psychosocial, seem to be associated with work stress and WMSDs. Stress has been implicated in the pathology of WMSDs but many hypotheses require further investigation. There is some epidemiological evidence to support work stress reactions as a predictor of WMSDs and a weighted reciprocal relationship may also exist between these two health problems. However, more longitudinal studies are required to clarify this issue.
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
The report has drawn together knowledge from an extensive set of sources. These include the conte... more The report has drawn together knowledge from an extensive set of sources. These include the contemporary scientific literature, the views of an international expert scientific panel, current practice, employer and employee representatives and a number of official authorities from member states of the European Union (EU). The need for EU consensus regarding diagnostic criteria is identified. Size of the problem across EU member states has been reported. Understanding of the biological mechanisms of WRULDs varies greatly and it is dependent on the specific disorder. A strong positive relationship between some WRULDs and the performance of work, especially where workers were highly exposed to workplace risk factors is noted. Identifying workers in the extreme exposure categories should become a priority for any preventative strategy. Current scientific knowledge and existing general advice in European health and safety directives, etc., already provide some strategies for preventing WR...
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
A large-scale ergonomics intervention that included policy, work organisation, focus groups, equi... more A large-scale ergonomics intervention that included policy, work organisation, focus groups, equipment and training was implemented in an acute hospital in the UK for an 18 month period. The intervention was evaluated in terms of exposure to back pain risk factors using the Portable Ergonomic Observation (PEO) method. Sixteen nurses were observed for a full-shift before and after the intervention to identify nursing tasks and the proportion that each comprised in a typical nursing shift. Tasks were then described in terms of posture and load using observation data collected from 48 nurses before and after the intervention. Results showed a similar proportion of a shift was spent performing nursing tasks before and after the intervention and that tasks were affected differentially by the intervention.
Proceedings of the Human Factors and Ergonomics Society Annual Meeting
Objectives - To investigate the possible interactions between physical and psychosocial risk fact... more Objectives - To investigate the possible interactions between physical and psychosocial risk factors in the workplace that may be associated with self-reported neck and upper-limb musculoskeletal disorder symptoms. Methods - 891 of 1514 manual handlers, delivery drivers, technicians, customer services computer operators and general office staff reported physical and psychosocial working conditions and neck and upper-limb disorder symptoms using a self-administered questionnaire (59% return rate). Of the 869 valid questionnaire respondents, 564 individual workers were classified in to one of four exposure groups: high physical - high psychosocial, high physical - low psychosocial, low physical - high psychosocial and low physical - low psychosocial. Results - The highest increase in risk was found in the high physical - high psychosocial exposure group for upper limb disorders. In the analyses, a departure from an additive risk model was observed for the upper-limb outcome definition...