Publications (2000 – 2012)

Wetterneck TB, Lapin JA, Krueger DJ, Holman GT, Beasley JW, Karsh BT.  Development of a primary care physician task list to evaluate clinic visit workflow.  BMJ Qual Saf.  2012;21:47-63

Beasley JW, Wetterneck T, Temte J, Lapin J, Wetternick T, Smith P, Rivera AJ, Karsh BT.  Information Chaos in Primary Care:  Implications for Physician Performance and Patient Safety.  Jr Am Board Fam Med 2011;24:745-51

Information chaos in primary care: implications for physician performance and patient safety. John W. Beasley, MD, Tosha B. Wetterneck, MD, MS, Jon Temte, MD, PhD, Jamie A. Lapin, MS, Paul Smith, MD, A. Joy Rivera-Rodriguez, PhD, and Ben-Tzion Karsh, PhD, J Am Board Fam Med 2011;24:745–751.

Development of a primary care physician task list to evaluate clinic visit workflow. Tosha B Wetterneck, Jamie A Lapin, Daniel J Krueger, G Talley Holman, John W Beasley, Ben-Tzion Karsh BMJ Quality & Safety Online First, published on 6 September 2011 as 10.1136/bmjqs-2011-000067

Wetterneck, T. B., Lapin, J. A., Karsh, B., & Beasley, J. W. (2011). Human factors and ergonomics in primary care. In P. Carayon (Ed.), Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety (pp. 763-774). Boca Raton, FL: Taylor and Francis.

Wetterneck TB, Karsh B-T. (2011): Human Factors Applications Understanding and Using Close Calls to Improve Health Care. In: Albert Wu (Ed.). Using Near Misses and Close Calls to Improve Patient Safety. Oakbrook Terrace, IL: Joint Commission Resources, pp. 39-54.

Wetterneck TB. (2011): Error Recovery in Health Care. In: Pascale Carayon (Ed.). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. Taylor & Francis; pp. 763-774.

Carayon P, Cartmill R, Hoonakker P, Schoofs Hundt A, Karsh BT, Krueger D, Snellman M, Thuemling T, Wetterneck T. (2011) Human Factors Analysis of Workflow in Health Information Technology Implementation. In: Pascale Carayon (Ed.). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. Taylor & Francis; pp. 449-464.

Wetterneck TB, Blosky M, Cartmill R, Hoonakker P, Norfolk E, Walker JM, Carayon P. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc 2011; 18:774-782. doi: 10.1136/amiajnl 2011-000255. PMID: 21803925.

Carayon P, Faye H, Hundt AS, Karsh, B-T, Wetterneck TB. (2010): Patient safety and proactive risk assessment. In: Yuehwern Y, editor. Handbook of Healthcare Delivery Systems. Boca Raton, FL: Taylor & Francis; pp. 12:1-15.

Incorporating Health Information Technology Into Workflow Redesign. Carayon P, Karsh B-T, Cartmill RS, Hoonakker P, Hundt AS, Krueger D, Thuemling T, Wetterneck TB, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2010. AHRQ Publication No. 10-0098-EF.

Smith, M. W. ,Russ, A., Wears, R. L., Patterson, E., Miller, A., Militello, L., Anders, S., Karsh, B. (2009). Medical informatics: what contributions can human factors make? Proceedings of the Human Factors and Ergonomics Society 53st Annual Meeting

Karsh, B. Dierks, M., Nemeth, C., Wears, R., Wetterneck, T., 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 53st Annual Meeting

Beasley, J. W. and Karsh, B. (2010). What can we learn from effective collaboration in primary care research? One success story. Primary Health Care Research & Development, 11(3), 203-205.

Karsh, B., Beasley, J. W., Brown, R. L. (2010). Employed Family Physician Satisfaction and Commitment to their Practice, Work Group, and Health Care Organization. Health Services Research, 45(2), 457-475.

Hamilton-Escoto, K., Karsh, B., and Beasley, J. W. (2006). Multiple user considerations and their implications in medical error reporting system design. Human Factors, 48(1), 48-58.

Carayon P, Smith P, Hundt A, Kuruchittham V and Li Q. Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff, Behaviour & Information Technology. 2009;28:5-20.

Karsh, B., *Hamilton-Escoto, K., Beasley, J. W., and *Holden, R. (2006). Toward and theoretical approach to medical error reporting system research and design. Applied Ergonomics, 37(3), 283-295.

Beasley, J. W., Hamilton-Escoto, K., and Karsh, B. (2006). Human Factors in Primary Care. In P. Carayon (Ed.). Handbook of Human Factors and Ergonomics in Patient Safety (pp. 921-936). Mahwah, NJ: Lawrence Erlbaum Associates

Beasley, J. W., Karsh, B., Hagenauer, M. E., Marchand, L., Sainfort, F. (2005). What is the Quality of Work Life of Independent Versus Employed Family Physicians in Wisconsin? A WReN Study. Annals of Family Medicine, 3, 500-506.

Beasley, J. W., Karsh, B., Sainfort, F., Hagenauer, M. E. Marchand, L. (2004). What is the quality of work life of family physicians in Wisconsin’s health care organizations? A WReN study. Wisconsin Medical Journal, 103(7), 51-55.

Karsh, B., Beasley, J., Hagenauer, M. (2004). Are electronic medical records associated with improved perceptions of the quality of medical records, working conditions, or quality of working life? Behavior and Information Technology, 23(5), 327-335.

Beasley, J., *Hamilton, K., Karsh, B. (2003). Design Elements for a Primary Care Medical Error Reporting System. Wisconsin Medical Journal, 103(1), 56-59.

Carayon P, Smith PD. Evaluating the Human and Organizational Aspects of Information Technology Implementation in a Small Clinic. Systems, Social and Internationalization Design Aspects of Human-Computer Interaction 2001; 2: 903-7. Edited by M. J. Smith, et al.

Hundt AS, Carayon, Smith PD, Kuruchittham V. A macroergonomic case study assessing electronic medical record implementation in a small clinic. Proceedings of the Human Factors and Ergonomics Society 46th annual meeting – 2002:1385-88.

Abstracts, Conference papers, Presentations

Identifying Hazards in Primary Care: The Elderly Patient’s Perspective Steven D. Baran, Jamie A. Lapin, John W. Beasley, Paul D. Smith, Ben-Tzion Karsh Human Factors and Ergonomics Society, 55th Annual Meeting, Las Vegas, Nevada, September, 2011.

Wetterneck, T. Department of Family Medicine Statewide Research Forum “Hazards & Information Chaos in the Primary Care of the Elderly”: http://videos.med.wisc.edu/videos/39035 November, 2011

Wetterneck, T., Lapin, J., Beasley, J., Smith, P., Karsh, B. Please, Can I Have One Visit Where I Have All the Information I Need? 2011 Wisconsin Health Improvement and Research Partnership Forum. Madison, WI. September 14-16, 2011.

Lapin, J., Krueger, D., Wetterneck, T., Holman, G.T., Beasley, J., Karsh, B. The Myth of Primary Care Workflow. Primary Care Work-life to Wellness: Engineering Quality, Safety, and Satisfaction. Wisconsin Dells, WI. May 13-14, 2011.

Wetterneck TB, Holman GT. Use of Tandem Observations in Ambulatory Primary Care to Evaluate Physician—Nurse Teamwork. Presented at the 3rd International Conference Healthcare Systems Ergonomics and Patient Safety Conference, Oviedo, Spain, June 2011. In S. Albolino, et al. (Eds.), Healthcare Systems Ergonomics and Patient Safety 2011, London, UK: CRC Press, pp. 163-166.

Wetterneck TB, Holman GT. Failures and Recovery. Medication information flow at hospital follow-up visits. Oral presentation at the Wisconsin Health Improvement and Research Partnerships Forum, September 2011.

Lapin, J., Krueger, D., Wetterneck, T., Holman, G.T., Beasley, J., Karsh, B. Workflow Schmerkflow. Wisconsin Primary Care Research and Quality Improvement Forum. Middleton, WI, September 16-17, 2010.

Beasley, J., Karsh, B., Temte, J., Lapin, J., Wetterneck, T., Smith, P., Rodriquez, A.J. Information Chaos in Primary Care: Implications for Patient Safety. Family Medicine 40th Anniversary Celebration. Madison, WI. July 16-18, 2010.

Lapin, J., Beasley, J., Smith, P., Hagenauer, M.E., Karsh, B. Hazards in the Primary Care of Elderly Patients: A Qualitative Analysis of Physician Hazard Reports. Family Medicine 40th Anniversary Celebration. Madison, WI. July 16-18, 2010.

Lapin, J., Beasley, J., Smith, P., Hagenauer, M.E., Karsh, B. Hazards in the Primary Care of Elderly Patients: A Qualitative Analysis of Physician Hazard Reports. Center for Quality and Productivity Improvement. Madison, WI. April 30, 2010.

Beasley, J.W., Karsh, B., Temte, J., Lapin, J.A., Wetterneck, T., Smith, P.A., Rivera-Rodriguez, A.J. (May 2010). Information chaos in primary care: Implications for patient safety. 10th WONCA World Conference of Family Doctors, Cancun, Mexico.

Lapin, J., Beasley, J., Smith, P., Hagenauer, M.E., Karsh, B. Hazards in the Primary Care of Elderly Patients: A Qualitative Analysis of Physician Hazard Reports. Industrial and Systems Engineering Advisory Board Reception. Madison, WI. April 15, 2010.

Jamie A. Lapin, MS, Daniel J. Krueger, Tosha B. Wetterneck, MD, MS, G. Talley Holman, PhD, John Beasley, MD, Ben-Tzion Karsh, PhD. Workflow Schmerkflow. 2010 Wisconsin Primary Care Research Forum, September 16-17, 2010, Middleton, WI

Wetterneck, TB. Harvard Medical School: Update in Hospital Medicine Conference. “Quality Improvement from a Human Factors Perspective,” Boston, MA, September 2010.

Wetterneck, TB. Human Factors and Ergonomics Society 54th Annual Meeting. Panel speaker for Beyond the Hospital: Human Factors and Ergonomics Issues in the Ambulatory/Outpatient Care Setting. “Error Recovery and Medication-related Information Management,” San Francisco, CA, September 2010

Lapin, J. Hazards in the Primary Care of Elderly Patients: A Qualitative Analysis of Physician Hazard Reports. Wisconsin Primary Care Research and Quality Improvement Forum. November 12-13, 2009.

Karsh, B. “CDS integration with workflow: but what is the workflow? A human factors engineering perspective” CDS Collaboratory, Office of the National Coordinator and Agency for Healthcare Research and Quality, Washington DC, November 12, 2009.

Temte, J. L., Grasmick, M., O’Halloran, P., Kietzer, L., Karsh, B., Potter, B., Beasley, J. Smith, P. and Doherty, B. (2009). Assessing Primary Care Workload using the NASA-TLX. Agency for Healthcare Research and Quality 2009 Practice-Based Research Network Research Conference.

Karsh, B. “Designing decision support systems that fit into clinical workflow” Academic Medical Center Collaborative of Eclipsys Users, Dallas, TX, October 14, 2009.

Karsh, B. Proactive risk assessment of primary care of the elderly. Wisconsin Research and Education Network Spring Convocation of Practices. May 8-9, 2009.

Wetterneck TB, Holman GT. Medication information management and error recovery in primary care clinics. Wisconsin Primary Care Research & Quality Improvement Forum, November 2009.

Wetterneck, TB. Human Factors and Ergonomics Society 53rd Annual Meeting. Panel speaker for Beyond the Hospital: Human Factors and Ergonomics Issues in the Ambulatory/Outpatient Care Setting. “Error Recovery and Medication-related Information Management,” San Antonio, TX, October 2009.

Wetterneck, TB. Harvard Medical School: Update in Hospital Medicine Conference, “Quality Improvement from a Human Factors Perspective,” Boston, MA, October 2009.

Karsh, B. What Health Hazards do the Elderly Face in Primary Care Settings: an AHRQ Funded Study. Wisconsin Primary Care Research Forum. November 1-2, 2008.

Lapin, J. Proactive Risk Assessment of the Primary Care of Elderly Patients. Wisconsin Primary Care Research and Quality Improvement Forum. Wisconsin Dells, WI, November 5-6, 2008.

Lapin, J. Proactive risk assessment of primary care of the elderly. 2008 AHRQ Annual Conference: Promoting Quality…Partnering for Change, Bethesda, MD, September 7-10, 2008.

Lapin, J. Proactive risk assessment of primary care of the elderly. University of Wisconsin Institute for Clinical and Translational Research Meeting on Creating Collaborative Research Conversations. April 17, 2008.

Beasley J, Prochinske K, Kietzer L, et al. Proactive Risk Assessment of Primary Care of the Elderly. Paper presented at: American Academy of Family Physicians National Network; Colorado Springs, CO. March 7, 2008.

Prochinske K, Kietzer L, Smith P, et al. Proactive Risk Assessment of Primary Care of the Elderly: A Wisconsin Research and Education Network Study. Paper presented at: Agency for Healthcare Research and Quality Annual PBRN; Bethesda, MD. June 11-13, 2008.

National Association of Public Hospital and Health Systems Medical Leadership Conference. “Patient Safety Methods: Using Proactive Risk Assessment to Improve Medication Administration Safety”, Chicago, IL, July 2007

Wetterneck TB, Feldstein D, Gravel Sullivan A, Hildebrand C, Bartels C, Priest G, Trowbridge E, Weiss J, Vogelman B. Healthy People, Healthy Systems. Poster presentation, Associate Program Directors of Internal Medicine Spring Meeting, April 2006.

Hamilton, K., Karsh, B., Beasley, J. (2003). Medical error reporting systems: what are the related job stressors? Work Stress and Health: New Challenges in a Changing Workplace. 5th Interdisciplinary Conference on Occupational Stress & Health. Toronto, Canada, March 20-22, 2003. B.C.

Booske, F. Sainfort, B. Karsh. (2000). Subjective and objective measures of quality of care in nursing facilities. Poster presentation at the Association for Health Services Research Annual Meeting, Los Angeles, CA, June 2000.

Karsh, B., Beasley, J., Hagenauer, M. E., Sainfort, F. (2001). Do electronic medical records improve the quality of medical records? In M.J. Smith and G. Salvendy (Eds.). Systems, Social and Internationalization Design Aspects of Human-Computer Interaction. (pp. 908-912) Mahwah, NJ: Lawrence Erlbaum Associates.

Alyousef, B., Carayon, P., Hoonakker, P., Hundt, A.S., Cartmill, R., Tomcavage, J., Hassol, A., Chaundy, K., Younkin, J. & Walker, J. (2012) Care managers’ challenges in using multiple health IT applications. Poster accepted for presentation at Human Factors and Ergonomics Society meeting October 22-26, 2012.

Hundt, A.S., Hoonakker, P., Carayon, P., Den Herder, R., Cartmill, R., Walker, J., Younkin, J. and Topper, J. (2012) Organizational learning in a large-scale complex health IT project. Accepted for presentation at Human Factors and Ergonomics Society meeting October 22-26, 2012.

Invited commentaries

Karsh, B. (2004). Through the eyes of an industrial engineering professor. Invited Comment on “How Many Problems Do Family Physicians Manage at Each Encounter? A WReN Study, Annals of Family Medicine, 2(5), 405-410”, published on-line for the Annals of Family Medicine.