2024
The 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 ResearchMeSH KeywordsAgedChildEmergency Medical ServicesEmergency Service, HospitalHospitalizationHumansPhysiciansRetrospective StudiesConceptsAdvanced 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 ResearchMeSH KeywordsAlgorithmsChildChild AbuseDecision Support Systems, ClinicalElectronic Health RecordsEmergency Service, HospitalHumansNatural Language ProcessingConceptsClinical 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 algorithmAbuse
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 ResearchMeSH KeywordsAdultCaregiversChildChild AbuseEmergency Service, HospitalHumansIntimate Partner ViolenceSexual PartnersViolenceConceptsIntimate 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 prevalence
2021
A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows
Langhan ML, Woolf S, Tiyyagura G. A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows. Pediatric Emergency Care 2021, 37: e1521-e1523. PMID: 32941360, DOI: 10.1097/pec.0000000000002103.Peer-Reviewed Original ResearchMeSH KeywordsCurriculumEmergency MedicineEmergency Service, HospitalFellowships and ScholarshipsHumansPediatric Emergency MedicineSurveys and QuestionnairesConceptsCommunity emergency departmentsEmergency departmentPEM fellowsPediatric emergency medicine specialistsAcademic children's hospitalChildren's emergency departmentEmergency medicine specialistsLower patient acuityPediatric emergency medicineChildren's HospitalMajority of participantsMonth-long rotationPEM fellowship programsEmergency carePatient acuityEmergency department rotationMedicine specialistsWeb-based surveyMajority of trainingEmergency medicineCare environmentHospital leadershipHospitalNeeds assessmentFellowship programs
2020
Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchMeSH KeywordsChild AbuseChild Protective ServicesEmergency Medical ServicesEmergency Service, HospitalHumansInfantInfant, NewbornReferral and ConsultationConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultationImproving 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 Research
2019
Early 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 ResearchMeSH KeywordsChildChild AbuseChild, PreschoolDecision MakingEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMouthPhysical AbusePrevalenceProspective StudiesConceptsPediatric 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 comfortDepartmentProvidersOccult abusive injuries in children brought for care after intimate partner violence: An exploratory study
Tiyyagura G, Christian C, Berger R, Lindberg D. Occult abusive injuries in children brought for care after intimate partner violence: An exploratory study. Child Abuse & Neglect 2018, 79: 136-143. PMID: 29452932, PMCID: PMC5879001, DOI: 10.1016/j.chiabu.2018.02.003.Peer-Reviewed Original ResearchConceptsIPV exposureInternal injuriesIntimate partner violenceIntra-abdominal injuriesPhysical examination findingsCohort of childrenReports of traumaExamination of siblingsChild abuse consultationsPhysical abuseChild abuse pediatriciansOccult injuriesExamination findingsProspective studyAbusive injuriesEmergency departmentInjury patternsPhysical examinationDirect injuryInadvertent traumaPartner violenceCutaneous injuryPatientsInjuryChildren
2017
Parents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation.
McCarthy ML, Chaudoin LT, Mercurio MR, O'Brien EGJ, Bhargava S, Cohen SY, Auerbach M, Tiyyagura G. Parents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation. Pediatric Emergency Care 2017, Publish Ahead of Print: e66-e71. PMID: 28376068, DOI: 10.1097/pec.0000000000001139.Peer-Reviewed Original ResearchA Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine.
Kim JW, Tiyyagura G, Langhan M. A Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine. Pediatric Emergency Care 2017, Publish Ahead of Print: 856-861. PMID: 28225376, DOI: 10.1097/pec.0000000000001067.Peer-Reviewed Original ResearchConceptsED providersLimitations of telemedicineEmergency departmentTelemedicine programProviders' perceptionsPediatric ED providersAdult stroke patientsGeneral emergency departmentsCritical care settingPatient-related outcomesPediatric emergency patientsPediatric emergency careAudio-recorded semistructured interviewsPediatric telemedicineStroke patientsConnecticut hospitalsApplication of telemedicineCare settingsEmergency patientsEmergency careVideo telemedicineTelemedicine's effectMost childrenPediatric resourcesFurther studiesA web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers
Riera A, Ocasio A, Tiyyagura G, Thomas A, Goncalves P, Krumeich L, Ragins K, Trevino S, Vaca FE. A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers. Journal Of Asthma 2017, 54: 624-631. PMID: 27780380, PMCID: PMC7244941, DOI: 10.1080/02770903.2016.1251597.Peer-Reviewed Original ResearchConceptsCaregiver asthma knowledgeAsthma knowledgeAsthma careAsthma diagnosisQuality asthma carePediatric asthma careAsthma action planLatino caregiversAsthma knowledge questionnaireAsthma knowledge scoresEducational videoLEP caregiversChild asthma diagnosisPersistent asthmaED utilizationED encountersMedication usageInterventional studyActivity limitationsChildren 2Knowledge questionnaireKnowledge scoreCaregiversMean scoreHigh school diploma
2015
Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments
Tiyyagura G, Gawel M, Koziel JR, Asnes A, Bechtel K. Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments. Annals Of Emergency Medicine 2015, 66: 447-454. PMID: 26231409, DOI: 10.1016/j.annemergmed.2015.06.020.Peer-Reviewed Original ResearchMeSH KeywordsChildChild AbuseConnecticutEmergency Service, HospitalFemaleHumansInterviews as TopicMaleQualitative ResearchUnited StatesConceptsChild abuse
2014
The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department
Tiyyagura G, Balmer D, Chaudoin L, Kessler D, Khanna K, Srivastava G, Chang TP, Auerbach M. The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department. Academic Pediatrics 2014, 14: 597-602. PMID: 25439158, DOI: 10.1016/j.acap.2014.06.001.Peer-Reviewed Original Research