University of Wisconsin–Madison

Tosha Wetterneck, MD, MS

Contact Information

3138 Engineering Centers BuildingTosha 1550 Engineering Drive
Madison, WI 53706
Tel: 608-890-2110
Department of Medicine website
Email: tbw@medicine.wisc.edu

310 N. Midvale, Suite 205
Madison, WI 53705
Tel: 608-263-9355

Program Affiliations
Department of Medicine, Primary Care Division, Section of General Internal Medicine Research Scholars
Center for Quality and Productivity Improvement (CQPI)
Systems Engineering Initiative for Patient Safety (SEIPS)

Education
1988-91 B.S., University of Wisconsin-Milwaukee, Medical Science
1991-95 M.D., Medical College of Wisconsin
1995-98 Residency in Internal Medicine, UW Hospital and Clinics
1998-99 Chief Residency in Internal Medicine, UW Hospital and Clinics
2005-2008 M.S., Population Health Sciences, University of Wisconsin-Madison, Madison, WI

Fields of Interest

  • Medication safety
  • Error recovery
  • Impact of Health information technology on patient safety, work processes and provider outcomes
  • Quality of working life
Publications

Xie, A., Carayon, P., Cox, E.D., Cartmill, R., Li, Y., Wetterneck, T.B., & Kelly, M.M. (2015). Application of participatory ergonomics to the redesign of the family-centred rounds process. Ergonomics, (ahead-of-print), 1-19.

Carayon, P., Wetterneck, T.B., Alyousef, B., Brown, R.L., Cartmill, R.S., McGuire, K., Hoonakker, P.L.T., Slagle, J., Schultz van Roy, K., Walker, J.M., Weinger, M.B., Xie, A., & Wood, K.E. (2015). Impact of electronic health records technology on the work and workflow of physicians in the intensive care units. International Journal of Medical Informatics (IJMI), 84 (8), 578-594. http://dx.doi.org/10.1016/j.ijmedinf.2015.04.002

Wetterneck, T.B., Kelly, M., Carayon, P., Sesto, M., Tevaarwerk, A., Chui, M., Stone, J., Hoonakker, P.L.T., & Musa, A. (2014). Healthcare collaborations: Improving quality and safety through a team and systems engineering approach. Proceedings of the Human Factors and Ergonomics (HFES) Society’s 58th Annual Meeting, Chicago, IL. pp. 728-732.

Carayon, P., Wetterneck, T.B., Rivera-Rodriguez, A.J., Hundt, A.S., Hoonakker, P., Holden, R., & Gurses, A.P. (2014). Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 45 (1), 14-25. PMCID: PMC3795965

Hoonakker, P., Carayon, P., Brown, R.L., Cartmill, R.S., Wetterneck, T.B., & Walker, J. (2013). Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units. Journal of the American Medical Informatics Association, 20 (2), 252-259. PMCID: PMC3638190

Hundt, A.S., Adams, J.A., Schmid, J.A., Musser, L.M., Walker, J., Wetterneck, T.B., Douglas, S.V., Paris, B.L., & Carayon, P. (2013). Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.International Journal of Medical Informatics, 82 (1), 25-38. PMCID: PMC3430828

Douglas, S., Cartmill, R.S., Brown, R., Hoonakker, P., Slagle, J., Van Roy, K., Walker, J.M., Weinger, M.B., Wetterneck, T., & Carayon, P. (2013). The work of adult and pediatric intensive care unit nurses. Nursing Research, 62 (1), 50-58. PMID: 23222843

Carayon, P., Karsh, B-T., Gurses, A.P., Holden, R., Hoonakker, P., Hundt, A.S., Montague, E., Rodriguez, A.J., & Wetterneck, T.B. (2013). Macroergonomics in healthcare quality and patient safety. Review of Human Factors and Ergonomics, 8 (1), 4-54.PMCID: PMC3981462

Li, Y., Carayon, P., Xie, A., Kelly, M.M., Cartmill, R.S., Wetterneck, T.B., & Cox, E.D. (2013). Work system challenges to implementing a family-centered rounds checklist. Poster presented at the 2013 International Symposium on Human Factors and Ergonomics in Healthcare: Advancing the Cause, Baltimore, MD.

Cartmill, R.S., Walker, J.M., Blosky, M.A., Brown, R.L., Djurkovic, S., Dunham, D.B., Gardill, D., Haupt, M.T., Parry, D., Wetterneck, T.B., Wood, K.E., & Carayon, P. (2012). Impact of electronic order management on the timeliness of antibiotic administration in critical care patients. International Journal of Medical Informatics, 81 (11), 782-791. PMID: 22947701

Wetterneck, T., Walker, J., Blosky, M.A., Cartmill, R.S., Hoonakker, P., Johnson, M.A., Norfolk, E., & Carayon, P. (2011). Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Journal of the American Medical Informatics Association, 18 (6), 774-782. PMCID: PMC3198002

Wetterneck, T.B., Lapin, J., Krueger, D., Homan, G., Beasley, J., & Karsh, B-T. (2011). Development of a primary care physician task list to evaluate clinic visit workflow. British Medical Journal: Quality & Safety, 21 (1), 47-53. PMCID: PMC3568931

Wetterneck T.B. & Karsh B-T. (2011). Human factors applications understanding and using close calls to improve health care.Joint Commission Resources, 39-54.

Beasley, J., Wetterneck, T.B., Temte, J., Lapin, J.A., Smith, P.A., Rivera-Rodriguez, A.J., & Karsh, B.-T. (2011). Information chaos in primary care: Implications for physician performance and patient safety. The Journal of the American Board of Family Medicine 24 (6), 745-751. PMCID: PMC3286113

Carayon, P., Cartmill, R.S., Blosky, M.A., Brown, R., Hackenberg, M., Hoonakker, P., Hundt, A.S., Norfolk, E., Wetterneck, T.B. & Walker, J. (2011). ICU nurses’acceptance of electronic health records. Journal of the American Medical Informatics Association, 18 (6), 812-819. PMCID: PMC3197984

Wetterneck, T.B., Lapin, J., Karsh, B.-T., & Beasley, J. (2011). Human Factors and Ergonomics in Primary Care. In P. Carayon (Ed.) Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety, (2 ed., pp. 763-774). CRC Press: Boca Raton, FL.

Wetterneck T.B. (2011). Error recovery in health care. In P. Carayon (Ed.). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, (2 ed., pp. 449-461). CRC Press: Boca Raton, FL.

Carayon P, Cartmill R, Hoonakker P., Hundt A., Karsh, B.-T., Krueger, D., Snellman, M., Thuemling, T., & Wetterneck, T.B. (2011). Human factors analysis of workflow in health information technology implementation. In Carayon (Ed.). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, (2 ed., pp. 507-521). CRC Press: Boca Raton, FL.

Lapin, J., Krueger, D., Wetterneck, T.B., Holman, G.T., Beasley, J., & Karsh, B.-T. (2011). The myth of primary care workflow.Paper presented at the Primary Care Work-life to Wellness: Engineering Quality, Safety, and Satisfaction, Wisconsin Dells, WI.

Wetterneck, T.B. & Holman, G.T. (2011). Use of tandem observations in ambulatory primary care to evaluate physician. Paper presented at the 3rd International Conference Healthcare Systems Ergonomics and Patient Safety Conference, Oviedo, Spain.

Hoonakker, P., Wetterneck, T., Carayon, P., Cartmill, R.S., & Walker, J. (2011). Drug alerts override from a human factors perspective. Proceedings of the Healthcare Ergonomics Systems and Patient Safety (HEPS) Conference, Oviedo, Spain. pp. 367-371.

Wetterneck, T., Paris, B., Blosky, Walker, J., M.A., Cartmill, R.S., & Carayon, P. (2011). A Method for Evaluating Medication Error Recovery Processes in the ICU. Paper presented at the Healthcare Ergonomics Systems and Patient Safety (HEPS) Conference, Oviedo, Spain.

Carayon, P., Cartmill, R.S., Blosky, M.A., Brown, R., Hackenberg, M., Hoonakker, P., Hundt, A.S., Norfolk, E., Wetterneck, T.B. & Walker, J. (2011). EHR acceptance by ICU physicians and nurses. Proceedings of the Healthcare Ergonomics Systems and Patient Safety (HEPS) Conference, Oviedo, Spain.

Wetterneck, T.B., Lapin, J., Beasley, J., Smith, P., & Karsh, B.-T. (2011). Please, can I have one visit where I have all the information I need? Paper presented at the 2011 Wisconsin Health Improvement and Research Partnership Forum,Madison, WI.

Wetterneck, T.B. & Holman, G.T. (2011). Failures and recovery. Paper presented at the Wisconsin Health Improvement and Research Partnerships Forum, Madison, WI.

Wetterneck, T.B. (2011). Hazards & information chaos in the primary care of the elderly. Department of Family Medicine Statewide Research Forum.

Wetterneck, T.B., Cartmill, R.S., Walker, J.M., Carayon, P. (2010). Duplicate medication orders after CPOE implementation.Journal of Hospital Medicine, 5 (3), 81.

Carayon, P., Hundt, A.S., & Wetterneck, T.B. (2010). Nurses’ acceptance of smart IV pump technology. International Journal of Medical Informatics, 79 (6), 401-411. PMCID: PMC2862878

Carayon, P., Faye, H., Hundt, A.S., Karsh, B-T., Wetterneck, T.B. (2010). Patient safety and proactive risk assessment. In Yuehwen (Ed.), Handbook of Healthcare Delivery Systems, 12, (pp. 1-15). Taylor & Francis: London.

Wetterneck, T.B. (2010). Error recovery and medication-related information management. Paper presented at the Human Factors and Ergonomics Society (HFES) 54th Conference, San Francisco, CA.

Wetterneck, T.B. (2010). Quality improvement from a human factors perspective. Paper presented at the Harvard Medical School: Update in Medicine Conference, Boston, MA.

Lapin, J., Krueger, D., Wetterneck, T.B., Holman, G.T., Beasley, J., & Karsh, B.-T. (2010). Quality improvement from a human factors perspective. Paper presented at the Harvard Medical School: Update in Medicine Conference, Boston, MA.

Lapin, J., Krueger, D., Wetterneck, T.B., Holman, G.T., Beasley, J., & Karsh, B.-T. (2010). Workflow Schmerkflow. Paper presented at the Wisconsin Primary Care Research and Quality Improvement Forum, Middleton, WI.

Wetterneck, T.B., Hundt, A.S., & Carayon, P. (2009). FMEA team performance in health care: A qualitative analysis of team member perceptions. Journal of Patient Safety, 5 (2), 102-108. PMID: 19920449

Djurkovic, S., Cartmill, R.S., Blosky, M.A., Dunham, D., Gardill, D., Haupt, M., Parry, D., Walker, J.M., Wetterneck, T.B., Wood, K.E., & Carayon, P. (2009). CPOE Implementation decreases the time to the administration of the first dose of antibiotic.Paper presented at the 2010 Society for Critical Care Medicine Conference, Miami, FL.

Wetterneck, T.B. (2009). Error recovery and medication-related information management. Paper presented at the Human Factors and Ergonomics Society (HFES) 53rd Annual Meeting, San Antonio, TX.

Karsh, B.-T. Dierks, M., Nemeth, C., Wears, R., Wetterneck, T.B., & Alvarado, C. (2009). Beyond the Hospital: Human Factors and Ergonomics Issues in the Ambulatory/Outpatient Care Setting. Proceedings of the Human Factors and Ergonomics Society (HFES) 53rd Annual Meeting, San Antonio, TX.

Wetterneck, T.B. & Holman, G.T. (2009). Medication information management and error recovery in primary care clinics. Paper presented at the Wisconsin Primary Care Research and Quality Improvement Forum, Madison, WI.

Koppel, R., Wetterneck, T., Telles, J.L., & Karsh, B.-T. (2008). Workarounds to barcode medication administration systems: Their occurrences, causes, and threats to patient safety. Journal of the American Medical Informatics Association, 15 (4), 408-423. PMCID: PMC2442264

Carayon, P., Wetterneck, T.B., Hundt, A.S., Rough, S., & Schroeder, M. (2008). Continuous technology implementation in health care: The case of advanced IV infusion pump technology. In Zink & Klaus (Eds.). Corporate Sustainability as a Challenge for Comprehensive Management. (pp. 139-151). Springer Press: Dordecht, The Netherlands.

Wetterneck, T., Paris, B., Blosky, M.A., Cartmill, R.S., Walker, J., & Carayon, P. (2008). Error recovery in the ICU medication use process. Paper presented at the Healthcare Ergonomics Systems and Patient Safety (HEPS) 2008 Conference, Strasbourg, France.

Wetterneck, T.B., Paris, B., Blosky, M.A., Cartmill, R.S., Walker, J., & Carayon, P. (2008). Error recovery in the ICU medication use process. Proceedings of the Healthcare Systems Ergonomics and Patients Safety (HEPS) 2008 Conference, Strasbourg, France.

Hoonakker, P., Carayon, P., Walker, J., & Wetterneck, T.B. (2008). Coordination in the ICU and the relation with quality of care and patient safety. Paper presented at the Healthcare Systems Ergonomics and Patient Safety (HEPS) 2008 Conference,Strasbourg, France.

Paris, B., Carayon, P., Wetterneck, T.B., Blosky, M.A., & Walker, J. (2008). Safety of the antibiotic medication use process in the intensive care unit. Proceedings of the Human Factors and Ergonomics Society (HFES) 52nd Annual Meeting, New York, NY.

Hoonakker, P., Carayon, P., Douglas, S., Schulz, K., Walker, J., & Wetterneck, T.B. (2008). Communication in the ICU and then relation with quality of care and patient safety from a nurse perspective. Paper presented at the Human Factors and Ergonomics Society (HFES) 54th Conference, San Franscisco, CA.

Hoonakker, P., Carayon, P., Douglas, S., Schulz, K., Walker, J.M., & Wetterneck, T.B. (2008). Communication in intensive care units. Paper presented at the ODAM 2008 Conference, Guaruja, Brazil.

Wetterneck, T.B., Paris, B., Walker, J., & Carayon, P. (2008). CPOE functionalities and medication ordering errors in the ICU.Proceedings of the 9th International Symposium on Human Factors in Organizational Design and Management, Sao Paulo, Brazil.

Carayon, P., Wetterneck, T.B., Hundt, A.S., Ozkaynak, M., DeSilvey, J., Ludwig, B., Ram, P., & Rough, S.S. (2007). Evaluation of nurse interaction with Bar Code Medication Administration (BCMA) technology in the work environment. Journal of Patient Safety, 3 (1), 34-42.

Arora, V., Wetterneck, T.B., Schnipper, J., Auerbach, A.D., Kaboli, P., Wachter, R.M., Levinson, W., Humphrey, H.J., & Meltzer, D.O. (2006). Effect of the inpatient general medical rotation on student pursuit of a generalist career. Journal of General Internal Medicine, 21 (5), 471-475. PMCID: PMC1484782

Wetterneck, T.B., Skibinski, K., Roberts, T.L., Kleppin, S.M., Schroeder, M.E., Enloe, M., Rough, S.S., Hundt, A.S., & Carayon, P. (2006). Using failure mode and effects analysis to plan implementation of smart IV pump technology. American Journal of Health-System Pharmacy, 63 (16), 1528-1538. PMID: 16896081

Wetterneck, T.B., Carayon, P., Hundt, A.S., & Kraus, S. (2006). Nurses’ perception of smart IV pump technology characteristics and quality of working life. Paper presented at the IEA 2006 Congress, Maastricht, The Netherlands.

Hundt, A.S., Carayon, P., & Wetterneck, T.B. (2006). HRO characteristics as demonstrated through implementation of a smart IV pump. In Pikaar, Koningsveld, & Seffels (Eds.). Proceedings of the IEA 2006 Congress, Maastricht, The Netherlands, Elsevier Ltd.: London.

Wetterneck, T.B., Feldstein, D., Gravel, S.A., Hildebrand, C., Bartels, C., Priest, G., Trowbridge, E., Weiss, J., & Vogelman, B. (2006). Healthy people, healthy systems. Paper presented at the Associate Program Directors of Internal Medicine, Spring Meeting.

Wetterneck, T.B., & Pak, M.H. (2005). Using clinical practice guidelines to improve patient care. Wisconsin Medical Journal, 104 (3), 30-33. PMID: 15966629

Carayon, P., Wetterneck, T.B., Hundt, A.S., Ozkaynak, M., Ram, P., DeSilvey, J., Hicks, B., Roberts, T., Enloe, M., Sheth, R., & Sobande, S. (2005). Observing nurse interaction with infusion pump technologies. In Henrikson, Battles, Marks, & Lewin (Eds.). Advances in Patient Safety: From Research to Implementation. AHRQ Publication. PMID: 21249836

Wetterneck, T. B., Brown, R. L., Carayon, P., Kleppin, S., Hundt, A.S. & Ozkaynak, M. (2005). End-user response to intravenous infusion pump medication dosing alerts: An analysis of user-interface events. Paper presented at the Healthcare Systems Ergonomics and Patients Safety (HEPS) Conference, Florence, Italy.

Hundt, A. S., Carayon, P., Wetterneck, T. B., Love, T., Haack, B., Schroeder, M. & Enloe, M. (2005). Evaluating design changes of a smart IV pump. In Tartaglia, Bagnara, Bellandi, & Albolino, (Eds.). Proceedings of the International Healthcare Systems, Ergonomics, and Patient Safety (HEPS) Conference, Florence, Italy. Taylor & Francis: London.

Wetterneck, T.B., Carayon, P., Sobande, F., & Hundt, A.S. (2005). Technology characteristics predicting end user acceptance of SMArT intravenous infusion pumps. Proceedings of the Human Factors and Ergonomics Society (HFES) 49th Annual Meeting, Orlando, FL.

Carayon, P., Wetterneck, T. B., Hundt, A. S., Enloe, M., Love, T., Rough, S., & Schroeder, M. (2005). Continuous technology implementation in health care: The case of advanced IV infusion pump technology. Paper presented at the 11th International Conference on Human-Computer Interaction, Las Vegas, NV.

Carayon, P., Wetterneck, T.B., Hundt, A.S., & Schroeder, M. (2004). Human factors in the design and implementation of patient safety technologies. Proceedings of the 15th ESCTAIC Annual Meeting, Toulouse, France.

Carayon, P., Wetterneck, T.B., Hundt, A.S., Ozkaynak, M., Ram, P., DeSilvey, J., Hicks, B., Roberts, T.L., Enloe, M., Sheth, R. & Sobande, S. (2004). Assessing nurse interaction with medication administration technologies: The development of observation methodologies. In Khalid & Yeo (Eds.), Working with Computing Systems. Damai Sciences: Kuala Lumpar.

Wetterneck, T.B., Skibinski, K., Schroeder, M., Roberts, T.L., & Carayon, P. (2004). Challenges with the performance of failure mode and effects analysis in healthcare organizations: An IV Medication Administration HFMEATM. Paper presented at the Annual Conference of the Human Factors and Ergonomics Society, New Orleans, LA.

Wetterneck, T.B., Linzer, M., McMurray, J.E., Douglas, J., Schwartz, M.D., Bigby, J.A., Gerrity, M.S., Pathman, D.E., Karlson, D., & Rhodes, E. (2002). Worklife and satisfaction of general internists. Archives of Internal Medicine, 162 (6), 649-656. PMID: 11911718

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