2024
Development and Evaluation of a Community Advisory Board for Family Violence.
Tiyyagura G, Leventhal J, Schaeffer P, Frechette A, Crawley D, Sommer E, Lopes C, Serrechia P, Asnes A. Development and Evaluation of a Community Advisory Board for Family Violence. Violence And Victims 2024, 39: 189-203. PMID: 38955471, DOI: 10.1891/vv-2023-0002.Peer-Reviewed Original ResearchConceptsIntimate partner violenceCommunity advisory boardIPV-exposed childrenCommunity advisory board membersChild abuseVictims of intimate partner violenceIntimate partner violence victimizationBenefits of participationIntimate partner violence survivorsChild physical abusePerceived benefits of participationFacilitators of sustainabilityVictim advocacyAbusive injuryPartner violenceFamily violenceFamily-centered interventionsDevelopment of collaborative relationshipsAdvocacy activitiesPhysical abuseCommunity leadersLocal stakeholdersEmergency careVictimsClinical careThe Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of DiseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factors
2023
Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse
Shum M, Hsiao A, Teng W, Asnes A, Amrhein J, Tiyyagura G. Natural Language Processing — A Surveillance Stepping Stone to Identify Child Abuse. Academic Pediatrics 2023, 24: 92-96. PMID: 37652162, PMCID: PMC10840716, DOI: 10.1016/j.acap.2023.08.015.Peer-Reviewed Original ResearchConceptsClinical guidelinesClinical decision support toolSignificant demographic differencesED providersProvider notesInsurance statusGeneral EDsClinical careAbuse evaluationsED typeChild protective servicesChild abuseInjuryAppropriate evaluationChild physical abuseNLP algorithmDemographic differencesPhysical abuseAdherenceDemographic variablesProtective servicesNatural language processing algorithmAbuseEvaluation of Children after Caregiver Intimate Partner Violence: A Qualitative Study of Barriers, Facilitators, and Trauma- and Violence-Informed Care
Tiyyagura G, Clayton N, Schaeffer P, Gawel M, Leventhal J, Hammel K, Jubanyik K, Crawley D, Frechette A, Lindberg D, Sullivan T, Asnes A. Evaluation of Children after Caregiver Intimate Partner Violence: A Qualitative Study of Barriers, Facilitators, and Trauma- and Violence-Informed Care. The Journal Of Pediatrics 2023, 260: 113519. PMID: 37244576, PMCID: PMC10527175, DOI: 10.1016/j.jpeds.2023.113519.Peer-Reviewed Original ResearchConceptsIntimate partner violenceCommunity advisory boardEmergency department cliniciansViolence-informed carePhysical abuseEvaluation of childrenIPV-exposed childrenPartner violenceChild abuse pediatriciansContext of IPVCaregiver needsRoutine evaluationLimited evidenceRisk of abuseChild physical abuseCaregiversIPV advocatesConstant comparative methodChildrenQualitative interviewsTraumaBenefits of evaluationCareAbuseQualitative studyWords Used in Letters of Recommendation for Pediatric Residency Applicants: Demographic Differences and Impact on Interviews
Boolchandani H, Osborn R, Tiyyagura G, Sheares B, Chen L, Phatak U, Puthenpura V, Elder R, Lee S, Amster L, Langhan M. Words Used in Letters of Recommendation for Pediatric Residency Applicants: Demographic Differences and Impact on Interviews. Academic Pediatrics 2023, 23: 1614-1619. PMID: 36889506, DOI: 10.1016/j.acap.2023.02.012.Peer-Reviewed Original ResearchConceptsLetters of recommendationLetter writersCommunal termsNatural language processing applicationsLanguage processing applicationsApplicant genderInterview statusCommunal wordsWritersLanguageAgentic termsWordsGenderLetterSenior academic ranksRaceTextAgenciesEquitable approachResidency candidatesWomenSignificant associationEthnicitySignificant differencesInterviews
2022
Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence
Butala N, Asnes A, Gaither J, Leventhal JM, O'Malley S, Jubanyik K, Aydin A, Tiyyagura G. Child safety assessments during a caregiver's evaluation in emergency departments after intimate partner violence. Academic Emergency Medicine 2022, 30: 23-31. PMID: 36300559, DOI: 10.1111/acem.14614.Peer-Reviewed Original ResearchConceptsIntimate partner violenceChild protective servicesPartner violenceSocial work involvementSafety of childrenEmergency departmentPresence of childrenIPV episodesProtective servicesChild safetyAdult victimsWork involvementViolencePhysical abuseDirect witnessCPS reportsCritical opportunityICD-10-CM codesChildren's exposureEncountersChart reviewED encountersNature of exposureHomeHigh prevalenceHow Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency
Forson-Dare Z, Du N, Ocran A, Tiyyagura G, Bruno C, Johnston L. How Good is Good Enough?: Current-Day Pediatric Residency Program Directors’ Challenges in Assessing and Achieving Resident Procedural Competency. Academic Pediatrics 2022, 23: 473-482. PMID: 36410602, DOI: 10.1016/j.acap.2022.11.005.Peer-Reviewed Original ResearchFood Insecurity Screening and Intervention in United States Children's Hospitals.
Markowitz MA, Tiyyagura G, Quallen K, Rosenberg J. Food Insecurity Screening and Intervention in United States Children's Hospitals. Hospital Pediatrics 2022, 12: 849-857. PMID: 36120739, DOI: 10.1542/hpeds.2022-006755.Peer-Reviewed Original ResearchConceptsUnited States children's hospitalsChildren's HospitalSocial work consultationFI screeningHospital screenFood insecurityHospital representativesWork consultationFood insecurity screeningClinical team membersPercent of hospitalsCommunity resourcesHealth of childrenProvision of foodPediatric patientsFoods/mealsPositive screenUnited States familiesScreening practicesInpatient unitUniversal screeningHospitalSocial workersState familyMost survey respondentsImproving Child Abuse Recognition and Management: Moving Forward with Clinical Decision Support
Tiyyagura G, Asnes AG, Leventhal JM. Improving Child Abuse Recognition and Management: Moving Forward with Clinical Decision Support. The Journal Of Pediatrics 2022, 252: 11-13. PMID: 35987368, DOI: 10.1016/j.jpeds.2022.08.020.Peer-Reviewed Original ResearchThe 21st Century Cures Act: Affecting the Safety of Intimate Partner Violence Survivors and Their Children
Shum M, Asnes AG, Jubanyik K, Tiyyagura G. The 21st Century Cures Act: Affecting the Safety of Intimate Partner Violence Survivors and Their Children. Annals Of Emergency Medicine 2022, 79: 503-504. PMID: 35461585, DOI: 10.1016/j.annemergmed.2022.01.015.Peer-Reviewed Original Research
2021
Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse
Tiyyagura G, Asnes AG, Leventhal JM, Shapiro ED, Auerbach M, Teng W, Powers E, Thomas A, Lindberg DM, McClelland J, Kutryb C, Polzin T, Daughtridge K, Sevin V, Hsiao AL. Development and Validation of a Natural Language Processing Tool to Identify Injuries in Infants Associated With Abuse. Academic Pediatrics 2021, 22: 981-988. PMID: 34780997, PMCID: PMC9095755, DOI: 10.1016/j.acap.2021.11.004.Peer-Reviewed Original Research
2020
Improving the Care of Abused Children Presenting to Community Emergency Departments: The Evolving Landscape
Tiyyagura G, Leventhal JM, Auerbach M, Schaeffer P, Asnes AG. Improving the Care of Abused Children Presenting to Community Emergency Departments: The Evolving Landscape. Academic Pediatrics 2020, 21: 221-222. PMID: 32961336, DOI: 10.1016/j.acap.2020.09.008.Peer-Reviewed Original ResearchSeeing the Forest in Family Violence Research: Moving to a Family-Centered Approach
Tiyyagura G, Bloemen EM, Berger R, Rosen T, Harris T, Jeter G, Lindberg D. Seeing the Forest in Family Violence Research: Moving to a Family-Centered Approach. Academic Pediatrics 2020, 20: 746-752. PMID: 31991169, PMCID: PMC7381357, DOI: 10.1016/j.acap.2020.01.010.Peer-Reviewed Original Research
2019
Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma
Wiley M, Schultheis A, Francis B, Tiyyagura G, Leventhal JM, Rutherford H, Mayes LC, Bechtel K. Parents’ Perceptions of Infant Crying: A Possible Path to Preventing Abusive Head Trauma. Academic Pediatrics 2019, 20: 448-454. PMID: 31629119, DOI: 10.1016/j.acap.2019.10.009.Peer-Reviewed Original ResearchImpact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect
Tiyyagura G, Asnes AG, Leventhal JM, Shah A, Calabrese T, Radecki L, Jeter G, Auerbach M. Impact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect. Academic Pediatrics 2019, 19: 985-987. PMID: 31299431, PMCID: PMC6823128, DOI: 10.1016/j.acap.2019.06.018.Peer-Reviewed Original ResearchEarly Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
Powers E, Tiyyagura G, Asnes AG, Leventhal JM, Moles R, Christison-Lagay E, Groisberg S, Auerbach M. Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department. Journal Of Emergency Medicine 2019, 56: 592-600. PMID: 30879856, DOI: 10.1016/j.jemermed.2019.01.030.Peer-Reviewed Original ResearchConceptsChild protection teamPediatric emergency departmentEmergency departmentClinical pathwayProtection teamEvaluation of infantsEarly involvementMonths of ageInfant morbidityAbusive injuriesSignificant causeDiagnostic testingInjuryInfantsPrivate insuranceSocioeconomic disparitiesChild protective servicesEarly detectionDiagnostic studiesConsultationPhysical abuseMonthsAbuseProtective servicesInvolvementOral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatientsA Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments
Tiyyagura G, Schaeffer P, Gawel M, Leventhal JM, Auerbach M, Asnes AG. A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments. Academic Pediatrics 2019, 19: 438-445. PMID: 30707955, PMCID: PMC6502662, DOI: 10.1016/j.acap.2019.01.006.Peer-Reviewed Original ResearchConceptsLocal championsCAN programStakeholder perspectivesChild abuse programsQualitative research designKey stakeholder perspectivesExternal change agentsConstant comparative methodEducation/awarenessChallenges/barriersStrong leadership supportLeadership supportChild abuseInstitutional supportChange agentsQualitative studyFacilitators of implementationEvidence-based educationProgram strengthsChampionsComparative methodResearch designPerspectiveSupportAbuse programs
2018
A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments
Gangadharan S, Tiyyagura G, Gawel M, Walsh BM, Brown LL, Lavoie M, Tay KY, Auerbach MA. A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments. Pediatric Emergency Care 2018, 34: 578-583. PMID: 27749805, DOI: 10.1097/pec.0000000000000906.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentIll infantsProviders' perceptionsEmergency departmentPediatric careGeneral emergency departmentsCritically Ill InfantsEmergency department providersPediatric-specific equipmentTeam of providersProvider discomfortProvider comfortIll childrenPED providersImprovement interventionsThematic saturationInfantsChildrenFacilitated debriefingCareIterative qualitative analysisOverall comfortDepartmentProviders
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and Injuries