Gunjan Tiyyagura, MD, MHS
Associate Professor of Pediatrics (Emergency Medicine) and of Emergency MedicineCards
About
Research
Publications
2026
Trauma- and Violence-Informed Care Practices in the Emergency Department for Survivors of Intimate Partner Violence
Tiyyagura G, Abeyaratne D, Asnes A, Schaeffer P, Gawel M, Jaferi N, Oakley B, Crawley D, Serrechia P, Frechette A, Balmer D. Trauma- and Violence-Informed Care Practices in the Emergency Department for Survivors of Intimate Partner Violence. JAMA Network Open 2026, 9: e260034. PMID: 41774444, PMCID: PMC12958084, DOI: 10.1001/jamanetworkopen.2026.0034.Peer-Reviewed Original ResearchConceptsIntimate partner violence survivorsIntimate partner violenceChild's medical visitsEmergency departmentFollow-up interviewsQualitative studyPediatric EDPartner violenceImpact of traumaIPV survivorsPurposive samplingViolence-informed careCommunity advisory boardSurvivors of intimate partner violenceIntimate partner violence advocatesLack of privacyNavigating care systemsChild protective services referralsIPV-related injuriesViolence-informedED careCare practicesCare systemPatient encountersMedical visitsImproving Use of Oral Antihistamines in a Children's Hospital.
Wong K, Criscione J, Tepler E, Mehta M, Powers E, Featherly J, Tiyyagura G, Goldman M, Grossman M, Soffer G. Improving Use of Oral Antihistamines in a Children's Hospital. 2026, 157 PMID: 41667068, DOI: 10.1542/peds.2025-072208.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEmergency department revisitsInpatient unitLength of stayProportion of patientsFirst-generation antihistaminesMultidisciplinary quality improvement initiativeSecond-generation antihistaminesMedian inpatient length of stayQuality improvement initiativesInpatient length of stayStatistical process control chartsProcess control chartsEducation sessionsImplement interventionsKnowledge scoresImprovement initiativesInpatient settingClinician educationEmergency departmentOutcome measuresProcess measuresBalance measurementsKnowledge assessmentCetirizine useICD-10 Codes Used in Pediatric Exposure to Intimate Partner Violence
Sayeem M, Shum M, Ryus C, Powers E, Randell K, Tiyyagura G. ICD-10 Codes Used in Pediatric Exposure to Intimate Partner Violence. Academic Pediatrics 2026, 26: 103226. PMID: 41651345, PMCID: PMC12995360, DOI: 10.1016/j.acap.2026.103226.Peer-Reviewed Original ResearchIntimate partner violencePediatric emergency departmentChild advocacy centerIntimate partner violence exposureHealth care systemDiagnostic codesCare systemICD-10Pediatric encountersCare providersPartner violenceSecondary analysisPediatric emergency department evaluationUrban health care systemExposure to intimate partner violenceIPV-related careHealth care providersChild protective services referralsICD-10 codesSafety of childrenPediatric visitsService referralsAdvocacy CenterEmergency departmentDocumentation practices
2025
Don’t Get MAD
Georgadarellis A, Shabanova V, Hoffman P, Tiyyagura G, Auerbach M, Langhan M. Don’t Get MAD. Pediatric Emergency Care 2025, 42: 186-192. PMID: 41422423, DOI: 10.1097/pec.0000000000003526.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentDe-escalation trainingRestraint usePost-interventionTraining interventionAgitated patientsTertiary care pediatric emergency departmentPediatric emergency department staffUrban tertiary care pediatric emergency departmentPhysical restraint useAcute agitationQuality improvement initiativesPost-intervention surveysBehavioral health emergenciesDe-escalation techniquesManagement of aggressionPatient aggressionSelf-reported behaviorStaff carePediatric agitationImprovement initiativesBaseline surveyRacial disparitiesEffective interventionsElectronic surveyStructural and Clinical Factors Associated with Physical Restraint Use in a Pediatric Emergency Department
Rolison M, Adu M, Faustino I, Kumar A, Huang S, Powers E, Shabanova V, Wong A, Hoffman P, Tiyyagura G. Structural and Clinical Factors Associated with Physical Restraint Use in a Pediatric Emergency Department. Journal Of The American College Of Emergency Physicians Open 2025, 7: 100277. PMID: 41321938, PMCID: PMC12657716, DOI: 10.1016/j.acepjo.2025.100277.Peer-Reviewed Original ResearchChild protective servicesChild protective services involvementPhysical restraint useEmergency medical servicesRestraint useEmergency departmentAutism diagnosisPhysical restraintBehavioral health careBehavioral health encountersBehavioral health concernsTertiary care children's hospitalPediatric emergency departmentPediatric ED patientsRetrospective cohort studyChild-level factorsMultivariate logistic regressionProtective servicesHealth encountersHealth carePediatric EDMedical servicesPolicePediatric patientsArrival modeA Multiphase Quality Improvement Project to Increase Relative Value Unit Generation Through Documentation Practices in a Pediatric Emergency Department
Fairchild V, Powers E, Siew L, Mistry R, Tiyyagura G, Goldman M. A Multiphase Quality Improvement Project to Increase Relative Value Unit Generation Through Documentation Practices in a Pediatric Emergency Department. Pediatric Emergency Care 2025, 41: 816-822. PMID: 40660611, DOI: 10.1097/pec.0000000000003445.Peer-Reviewed Original ResearchPlan-Do-Study-ActPediatric emergency departmentRelative value unitsProvider satisfactionIterative Plan-Do-Study-ActEmergency departmentDocumentation practicesAverage relative value unitsCritical care documentationQuality improvement projectStatistical process control chartsProcess control chartsCare documentationDocumented interventionsDocumentation timePatient careImprovement projectWorkplace satisfactionProvider impactOverall satisfactionValue unitsProvidersReference sheetPhase 1SatisfactionImpact of Intimate Partner Violence on Children
Doswell A, Kazmir S, Segal R, Tiyyagura G. Impact of Intimate Partner Violence on Children. Pediatric Clinics Of North America 2025, 72: 509-523. PMID: 40335175, PMCID: PMC12224229, DOI: 10.1016/j.pcl.2024.12.005.Peer-Reviewed Original Research
2024
Child abuse, neglect, and exploitation of young people
Asnes A, Tiyyagura G. Child abuse, neglect, and exploitation of young people. The BMJ 2024, 387: q2364. PMID: 39528262, DOI: 10.1136/bmj.q2364.Peer-Reviewed Original Research5.1 Identifying Drivers of Physical Restraint Use in a Pediatric Emergency Department
Rolison M, Adu M, Faustino I, Kumar A, Powers E, Wong A, Hoffman P, Tiyyagura G. 5.1 Identifying Drivers of Physical Restraint Use in a Pediatric Emergency Department. Journal Of The American Academy Of Child And Adolescent Psychiatry 2024, 63: s7-s8. DOI: 10.1016/j.jaac.2024.07.065.Peer-Reviewed Original ResearchAcceptability and feasibility of trauma- and violence-informed care for intimate partner violence
Tiyyagura G, Leventhal J, Schaeffer P, Gawel M, Crawley D, Frechette A, Reames S, Carlson C, Sullivan T, Asnes A. Acceptability and feasibility of trauma- and violence-informed care for intimate partner violence. Child Abuse & Neglect 2024, 157: 107068. PMID: 39332141, PMCID: PMC11512670, DOI: 10.1016/j.chiabu.2024.107068.Peer-Reviewed Original ResearchIntimate partner violence advocatesIntimate partner violenceIPV-exposed childrenChild protective servicesIntimate partner violence servicesPartner violenceImpact of intimate partner violenceExposure to intimate partner violenceIntimate partner violence survivorsChild physical abuseViolence-informed careAdvocacy servicesProtective servicesPhysical abuseQualitative interviewsPromote well-beingCaregiver engagementSeeking CareAdvocatesPediatric visitsAssess acceptabilityImmediate linkageChild visitsViolenceWell-being
Academic Achievements & Community Involvement
Clinical Care
Overview
Gunjan Tiyyagura, MD, specializes in pediatric emergency medicine, and has a particular interest in improving the recognition and reporting of child abuse and neglect.
As an associate professor of pediatrics (emergency medicine) and of emergency medicine at Yale School of Medicine, Dr. Tiyyagura uses family-centered interventions for household violence and proven methods to enhance child safety, including clinical decision support for frontline providers.
Dr. Tiyyagura received her medical training from the University of Connecticut School of Medicine, completed her residency and chief residency in pediatrics at Columbia University, and pursued a fellowship in pediatric emergency medicine at Yale School of Medicine.
Clinical Specialties
Pediatrics; Emergency Medicine
News
News
- March 12, 2026
Yale Pediatrics Poster Presenters at PAS 2026
- October 24, 2024
Announcing the New Section of Child Safety, Advocacy & Healing and Inaugural Section Chief, Andrea Asnes, MD, MSW
- February 28, 2024
Find Yale Pediatrics at the 2024 Pediatric Academic Societies (PAS) Meeting
- February 28, 2024
Yale Pediatrics Poster Presenters at PAS 2024
Get In Touch
Contacts
Clinic Fax Number
Mailing Address
Pediatric Emergency Medicine
PO Box 208064
New Haven, CT 06520-8064
United States
Locations
Patient Care Locations
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