Peter W Buckle

Peter W Buckle
Imperial College London | Imperial · Division of Surgery

PhD

About

123
Publications
47,335
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
6,831
Citations
Introduction
Additional affiliations
May 2017 - present
Imperial College London
Position
  • Principal research fellow
August 2013 - July 2015
Royal College of Art
Position
  • Professor
January 1987 - December 2009
University of Surrey

Publications

Publications (123)
Article
Use of in-vitro point of care devices - intended as tests performed out of laboratories and near patient - is increasing in clinical environments. International standards indicate that interaction assessment should not end after the product release, yet human factors methods are frequently not included in clinical and empirical studies of these dev...
Article
Full-text available
Unlabelled: Medication safety and errors are a major concern in care homes. In addition to the identification of incidents, there is a need for a comprehensive system description to avoid the danger of introducing interventions that have unintended consequences and are therefore unsustainable. The aim of this study was to explore the impact and un...
Article
Full-text available
Unlabelled: Accurate comprehension and analysis of complex sociotechnical systems is a daunting task. Empirically examining, or simply envisioning the structure and behaviour of such systems challenges traditional analytic and experimental approaches as well as our everyday cognitive capabilities. Computer-based models and simulations afford poten...
Article
A design research project was conducted in London to investigate the issues experienced by people with vision impairment around street works and to generate and evaluate improvements to the manner in which street works are signed and guarded. A qualitative, ethnographic approach was taken to achieve a multifaceted understanding of street works equi...
Article
Full-text available
Manufacturers are well informed about the role of human factors in managing risk and in identifying problems in the use of medical devices. However, there are many myths and conceptual misunderstandings that act as barriers toward a full integration of assessment methods in the product life cycle. The difficulty of balancing costs, the necessary ac...
Article
Full-text available
Unlabelled: The past decade has seen an increase in the application of human factors and ergonomics (HFE) techniques to healthcare delivery in a broad range of contexts (domains, locations and environments). This paper provides a state of science commentary using four examples of HFE in healthcare to review and discuss analytical and implementatio...
Article
The Francis report identified multiple problems relating to the safety culture of Stafford Hospital during 2005-09.1 In a safe culture, system leaders are sensitive to the unintended consequences of policy, and staff at every level share responsibility for safety.2 The aviation industry began to recognise 30 years ago that certain behaviours were...
Article
Obesity within today's workforce is increasing. This paper shows, through an overview of the current literature, how and where obesity is impacting on the workplace and how the health of the workforce is being affected. Associations have been found with musculoskeletal health, stress and physiological cost. Implications for ergonomists concerned wi...
Article
Full-text available
Unlabelled: Human factors/ergonomics (HFE) has great potential to contribute to the design of all kinds of systems with people (work systems, product/service systems), but faces challenges in the readiness of its market and in the supply of high-quality applications. HFE has a unique combination of three fundamental characteristics: (1) it takes a...
Article
The placement of nasogastric (NG) tubes is known to be prone to error and may lead to serious issues for patient safety and wellbeing. In some instances these have been catastrophic and resulted in the death of the patient. This study sought to explore the potential risks associated with this procedure through the use of systematic prospective risk...
Article
Systems approaches and their relevance to risk assessment are considered through an examination of a number of recent applications in England. The importance of visual mapping of systems is emphasised. This approach encourages participation from those within the system with less technical knowledge but with important information to add to a risk as...
Article
Full-text available
Obesity within today's workforce is increasingly recognized as a challenge for both public health professionals and ergonomists. The two disciplines share a scientific, evidence-based approach to practice and now have the opportunity to address a common health issue, namely obesity. This paper shows, through an overview of the current literature, h...
Article
Full-text available
Firefighting is known to be demanding, but low retirement age in this field means the capacity of the older worker to fight fires is less understood. In the Royal Fleet Auxiliary (RFA), firefighting is a critical secondary task that all personnel must be capable of. Heart rate (HR), work ability index and subjective work demand were obtained from 4...
Article
The relationship between research and practice in ergonomics and human factors has rarely been addressed in the literature. This presents specific problems for researchers when seeking to relate their work to the research community. Equally, practitioners are often frustrated by the lack of appropriate research to meet their needs. This paper seeks...
Article
Systems mapping workshops have been applied to the problem of medication errors in healthcare. The workshops were designed using experiential group work principles. They involved a range of stakeholders from within the health service as well as those who supply the health sector, including designers who may be able to enhance the safety of products...
Article
In the light of a number of serious incidents in the UK resulting from accidental overdoses of methotrexate, this study investigated how the design of methotrexate packaging can influence patient safety, and aimed to collect evidence to provide a basis for the development of new concepts for revised designs by the pharmaceutical industry. The resea...
Article
Full-text available
Care home residents are at particular risk from medication errors, and our objective was to determine the prevalence and potential harm of prescribing, monitoring, dispensing and administration errors in UK care homes, and to identify their causes. A prospective study of a random sample of residents within a purposive sample of homes in three areas...
Article
The disciplines of public health and ergonomics share scientific concepts and often address similar health issues. However, the potential for a significantly greater engagement with public health priorities now exists. Problems to be tackled include the ageing population (and workforce), obesity and patient safety. Priorities may be set using publi...
Conference Paper
Although methods for investigating safety in complex systems have been widely applied, few studies have made explicit comparisons of two or more methods used to study one system problem. This paper presents a comparison of two methods that were used to analyse medication errors identified in UK care homes namely, The London Protocol and Work Domain...
Article
Full-text available
A literature review revealed that cashiers are the most studied of all supermarket workers, while little is known about other types of employees. However, cashiers are far from being the only supermarket workers affected by musculoskeletal disorders. The musculoskeletal health of supermarket employees other than cashiers was therefore examined for...
Article
This paper describes the development and evaluation of the Quick Exposure Check (QEC), which is an observational tool developed for Occupational Safety and Health (OSH) practitioners to assess exposure to risks for work-related musculoskeletal disorders and provide a basis for ergonomic interventions. The tool is based on epidemiological evidence a...
Article
This study set out to identify the associations between ergonomics and other factors with back and neck pain among schoolchildren. Self-reported questionnaires were used to record health outcomes and potential risk factors in state schools. Six hundred and seventy-nine schoolchildren from Surrey in the United Kingdom aged 11-14 years took part. Twe...
Article
Musculoskeletal pain in adolescence is common and individuals frequently report pain in different sites. However, statistical analysis is often limited to considering one or a few pain sites. In this study latent class analysis was used to classify individuals into latent classes in terms of their patterns of endorsing ten musculoskeletal sites. Pr...
Article
Models of human characteristics and capacities with respect to materials handling are found commonly in the ergonomics literature. They are used widely by practitioners, health and safety personnel and, increasingly, in assessing the validity of personal injury claims. The derivation of such guidelines is frequently based on assessment of only a li...
Conference Paper
A major challenge in improving safety in complex socio-technical systems for example care homes is in the analysis and design. This study is part of a larger project examining medication safety in care home patients who have been admitted to hospital. For this study, the aim was to investigate the role of ward pharmacists in ensuring the safe deliv...
Conference Paper
It has been estimated that 5% of all hospital admissions are a result of avoidable harm from medicines (Hepler & Segal, 2003). This is a similar percentage to that of cancer. In particular, many elderly patients are on a number of medicines, potentially increasing the probability of errors. Around half a million older people in England live in care...
Conference Paper
Full-text available
Packaging of medication is an area of concern with respect to medication error. This study sought to evaluate how the design might influence errors across the current medication distribution system. This was defined as the warehouse, pharmacy and patient domains. Observations, interviews and proactive risk assessment, in the form of Failure Modes a...
Article
The complexity of the health care environments necessitates an holistic and systematic ergonomics approach to understand the potential for accidents and errors to occur. The health service is also a socio-technical system, and design needs must be met within this context. This paper aims to present the design challenges and emphasises the specialis...
Article
This paper presents findings from an investigation into the musculoskeletal health of UK cleaners. It focuses on cleaning work organisation and practises, and recommendations for supervisors and managers to work with cleaners to reduce health and workplace problems. Questionnaire surveys of 1216 cleaners throughout the UK, 130 assessments of cleani...
Article
Full-text available
Musculoskeletal disorders continue to be a major source of disability and lost work time. Understanding their causes, and especially those that are work-related, remains the key to primary prevention. This set of in-depth reviews considers the problem from a number of systems needs and viewpoints. Assessing the exposure of workers to known risk fac...
Article
To explore possible differences in risk factors for low back pain according to its speed of onset. We analyzed longitudinal data from 1366 hospital nurses in England who initially had been free from low back pain for at least one month. Risk factors were ascertained from a self-administered baseline questionnaire, and outcomes from serial followup...
Article
This paper presents the findings from a 2 year investigation into the musculoskeletal health of UK cleaners and focuses on the potential association of these problems with the design and use of cleaning equipment. The five-stage study employed a participative approach using a number of different methodologies to explore the use and design of common...
Article
Full-text available
Most UK hospitals now have manual handling policies, but few studies have assessed their impact. To facilitate such research, a system for ranking the investment in manual handling risk controls was devised and applied to 109 acute hospitals in the UK. High scoring hospitals performed well on all aspects of manual handling risk management. Low scor...
Chapter
Despite advances in engineering knowledge and technology the everyday experience of the engineered world provides, all too often, evidence of failure as well as success. For example, as a literate and healthy human is it unreasonable to expect: • to be readily able to set the alarm function on my digital watch and to be confident that it will work?...
Article
A study of 45 non-keyboard input device (NKID) users was undertaken at nine organisations to investigate the extent, pattern and method of NKID usage, workstation configurations, postures adopted and musculoskeletal symptoms. A number of methods were used: work activity diaries, interviews, observations and postural assessments. A range of NKID wer...
Article
Injury and ill health among healthcare staff associated with handling patients is an important area of risk for UK National Health Service (NHS) employers. Since the introduction of a specific legal duty to control this risk in 1992, many Trusts have developed manual handling risk management strategies. Anecdotally, however, practice varies between...
Article
Full-text available
In 2002 the UK Department of Health and the Design Council jointly commissioned a scoping study to deliver ideas and practical recommendations for a design approach to reduce the risk of medical error and improve patient safety across the National Health Service (NHS). The research was undertaken by the Engineering Design Centre at the University o...
Article
The study reported here aims to identify the extent of back pain experienced by 11-14 year old schoolchildren, and establish the intensity, duration and frequency of exposure to physical risk factors present in schools. This paper considers the sitting postures of schoolchildren in the classroom. The sitting postures of 66 children were recorded in...
Conference Paper
Solid oral Methotrexate (Methotrexate in tablet form) has been used for many years as an effective measure to treat severe rheumatoid arthritis and severe psoriasis. When taken at the right frequency and dose Methotrexate is a safe medication. However, in the community in the UK between 1993 and 2000, Methotrexate has been implicated in the deaths...
Article
Full-text available
Aim: To assess the incidence and risk factors for neck and shoulder pain in nurses. A longitudinal study of neck and shoulder pain was carried out in female nurses at two hospitals in England. Personal and occupational risk factors were assessed at baseline. The self reported incidence of symptoms in the neck and shoulder region was ascertained at...
Article
An assessment of non-keyboard input devices (NKID) was conducted to identify factors for good design in relation to operation, performance and comfort. Twenty-seven NKID users, working in health and safety, evaluated eight devices that included mice, trackballs and a joystick mouse. The factors considered important for good design were: (1) comfort...
Article
Full-text available
This study assessed the impact of ergonomic intervention on rates of low-back pain among hospital nurses. Altogether 1239 female nurses from two hospitals in southern England completed a baseline postal questionnaire about low-back pain and associated risk factors. Between 18 and 28 months after the baseline survey, major intervention was implement...
Article
Full-text available
This study set out to identify the role of ergonomic and other factors in new episodes of disabling back pain in schoolchildren and to develop methods to access potential risk factors of schoolchildren and evaluate their relationship with subsequent symptomology. It has been shown that a strong predictor of having future back pain is a previous his...
Article
Contrary to common belief, back pain amongst young people is a frequent phenomenon. Epidemiological studies have found high prevalence rates of back pain amongst schoolchildren. The investigation reported here aims to validate children's self-reporting and the observation of sitting postures to establish the intensity, duration and frequency of exp...
Article
The nature of work-related musculoskeletal disorders of the neck and upper limbs is reviewed using both scientific data and the consensus view of experts, union bodies and government agencies across the European Union. Work-related musculoskeletal disorders describe a wide range of inflammatory and degenerative diseases and disorders. These conditi...
Article
Full-text available
To investigate potential interactions between physical and psychosocial risk factors in the workplace that may be associated with symptoms of musculoskeletal disorder of the neck and upper limb. 891 of 1514 manual handlers, delivery drivers, technicians, customer services computer operators, and general office staff reported on physical and psychos...
Article
The European Agency for Safety and Health at Work has established Topic Centres covering the key areas for the Agency's information provision activities. A Topic Centre has been developed to provide information on Good Practice - Musculoskeletal Disorders via the Internet. Procedures for data collection have been established and a data base structu...
Article
In-depth interviews and observations have been undertaken with intensive and non-intensive non-keyboard input device (NKID) users. Fifty individuals at ten organisations were interviewed to gain insight into how users arrange their workstations and use NKID in connection with different tasks. Observational data have also been collected on posture a...
Article
This two year study of musculoskeletal health problems among UK cleaners incorporated the findings from questionnaire surveys, workplace assessments, laboratory trials and focus groups. Higher than expected prevalence rates of musculoskeletal pain and discomfort were identified among cleaners. The main areas affected were: elbows, knees, right wris...
Article
This field intervention study compared the working postures and reported musculoskeletal symptoms of participants, while using both a traditional telephone handset and a telephone headset. Twenty-six subjects from a variety of occupations participated in a cross over design. Working postures and self-reported symptoms were recorded and then compare...
Article
A two year research study was undertaken to identify the extent and causes of musculoskeletal work related problems and discomfort among cleaners, to develop guidelines for machine design and to provide advice for supervisors and managers in the cleaning industry. The study highlighted that health problems amongst the UK cleaning population were si...
Article
A tool has been developed for health and safety practitioners to assess the exposure to workplace risks for work-related musculoskeletal disorders. The tool is based on the practitioners' needs and “state of the art” research findings. QEC has been tested, modified and validated using both simulated and real tasks, with the help of approximately 15...
Article
There are reports from several countries that cleaners have a high risk of developing health problems, particularly musculoskeletal problems affecting the back, neck, shoulders, elbows and hands. This symposium draws together research that is currently being conducted on ill health amongst cleaners in Europe.
Article
This paper reports the findings of two questionnaire surveys, the first distributed to IT and health and safety managers and the second to users of non-keyboard input devices (NKID). This is part of a two year study investigating the potential health effects of non-keyboard input devices.
Article
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 r...
Article
Back pain is a significant financial burden on industry and the economy, but more importantly it is the cause of suffering and disability to countless individuals. Therefore if the symptoms and risk factors of back pain could be identified at an early stage, the opportunities for remedial action would be improved. The study aims to identify the ext...
Article
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 f...
Article
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...
Article
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 rep...
Article
Full-text available
To investigate the possible interactions between physical and psychosocial risk factors at work that may be associated with self reported back disorders. 891 of 1514 manual workers, delivery drivers, technicians, customer services computer operators, and general office staff reported risk factors at work and back disorders with a self administered...
Article
Full-text available
Physical exposure to risks for potential work-related musculoskeletal injuries has been assessed using a variety of methods, including pen and paper based observation methods, videotaping and computer-aided analysis, direct or instrumental techniques, and various approaches to self-report assessment. These methods are critically reviewed in this pa...
Article
Full-text available
A newer exposure tool has been developed for health and safety practitioners to assess the exposure to risks for work-related musculoskeletal disorders. The tool is based on the practitioners' needs for such a tool and `state of the art' research findings. QEC has been tested, modified and validated based upon various simulated and practical tasks,...
Article
The ergonomic evaluation of mattresses is largely ignored in the current literature. This is somewhat surprising given their importance and the length of time spent using them. This study considers some ergonomic aspects of their design, including body contact pressure and subjective ratings of comfort. Subjects (12 females) found all of the mattre...
Article
This paper reports the evaluation of a tool designed by the workforce to reduce the physical strain imposed by the manual handling of gas cylinders. The design of this tool had not been subject to ergonomics during its participatory design. The aim of this case study was to assess the potential benefits of using such a manual handling tool for gas...
Article
Full-text available
In 1713, Ramazzini wrote of upper limb problems in professional writers (box). His observations of causative factors (prolonged static postures, highly repetitive work, psychological attributes of the work) and difficulties in treatmmt and management are still debated today.
Article
Full-text available
Introduction In 1713, Ramazzini wrote of upper limb problems in professional writers (box).1 His observations of causative factors (prolonged static postures, highly repetitive work, psychological attributes of the work) and difficulties in treatment and management are still debated today. The diseases of persons incident to this craft arise from...