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 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
A quality improvement approach to integrating social determinants of health objectives into pediatric simulation
Feick M, Iqbal A, Boolchandani H, Kandil S, Johnston L, Soma G, Cordone A, Auerbach M, Tiyyagura G. A quality improvement approach to integrating social determinants of health objectives into pediatric simulation. AEM Education And Training 2023, 7: e10910. PMID: 37791136, PMCID: PMC10543355, DOI: 10.1002/aet2.10910.Peer-Reviewed Original ResearchSocial determinantsQuality improvement approachQuality improvement workEquitable careHealth outcomesHealth disparitiesLack of timeHealth objectivesSimulation curriculumPediatric residentsStudy periodPercentage of simulationsResidency programsReview of interviewsMost traineesMonthsMonthly casesPrimary objectiveSDHFacilitator feedbackImprovement approachPercentageResidentsPediatric simulationCases
2022
Impact of Project ECHO on Community Pediatricians' Food Allergy Knowledge
Leeds S, Auerbach M, Tiyyagura G. Impact of Project ECHO on Community Pediatricians' Food Allergy Knowledge. Journal Of Allergy And Clinical Immunology 2022, 149: ab42. DOI: 10.1016/j.jaci.2021.12.169.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
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 ResearchConceptsCommunity 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
Impact 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
Facilitating Tough Conversations: Using an Innovative Simulation-Primed Qualitative Inquiry in Pediatric Research
Wong AH, Tiyyagura GK, Dodington JM, Hawkins B, Hersey D, Auerbach MA. Facilitating Tough Conversations: Using an Innovative Simulation-Primed Qualitative Inquiry in Pediatric Research. Academic Pediatrics 2017, 17: 807-813. PMID: 28652069, DOI: 10.1016/j.acap.2017.06.007.Peer-Reviewed Original ResearchConceptsComplex health care issuesHealth care simulationQualitative inquiryHealth care issuesPsychological safetyData collection planningExperiential cycleCare issuesMain iterative stepsSimulation modalitiesData collection planHealth SciencesResearch topicEducational domainPediatricSafety of subjectsHealthParticular topicIterative stepsQualitative researchSimulated experienceParticipantsQualitative methodsLiterature reviewCollection planningThe association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation
Escobar MA, Flynn-O'Brien K, Auerbach M, Tiyyagura G, Borgman MA, Duffy SJ, Falcone KS, Burke RV, Cox JM, Maguire SA. The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation. Journal Of Trauma And Acute Care Surgery 2017, 82: 1147-1157. PMID: 28520688, DOI: 10.1097/ta.0000000000001441.Peer-Reviewed Original ResearchParents' 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 Research
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performanceQualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions
Pasternack JR, Dadiz R, McBeth R, Gerard JM, Scherzer D, Tiyyagura G, Zaveri P, Chang TP, Auerbach M, Kessler D. Qualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions. Academic Pediatrics 2016, 16: 621-629. PMID: 27154006, DOI: 10.1016/j.acap.2016.04.010.Peer-Reviewed Original ResearchConceptsCompetency-based education programsEducation programsGraduate medical trainingAbility of SDSEducational cultureTeaching paradigmClinician educatorsEducational initiativesInstitutional cultureInterns' readinessMedical trainingTask trainerEducationEmergent themesAcademic medicineTrainee educationCommunication logisticsFocus groupsQualitative studyPatient careMain themesSuccessful implementationPediatric InnovationReadinessCommon goal
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
2013
Board 398 - Research Abstract Working through Barriers to Simulation-Based Just-In-Time Training and Competency Assessments for Infant Lumbar Punctures (Submission #282)
Pasternack J, Dadiz R, McBeth R, Gerard J, Scherzer D, Tiyyagura G, Zaveri P, Chang T, Auerbach M, Kessler D. Board 398 - Research Abstract Working through Barriers to Simulation-Based Just-In-Time Training and Competency Assessments for Infant Lumbar Punctures (Submission #282). Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2013, 8: 377. DOI: 10.1097/01.sih.0000441650.13730.83.Peer-Reviewed Original ResearchInterns' Success With Clinical Procedures in Infants After Simulation Training
Kessler DO, Arteaga G, Ching K, Haubner L, Kamdar G, Krantz A, Lindower J, Miller M, Petrescu M, Pusic MV, Rocker J, Shah N, Strother C, Tilt L, Weinberg ER, Chang TP, Fein DM, Auerbach M. Interns' Success With Clinical Procedures in Infants After Simulation Training. Pediatrics 2013, 131: e811-e811. PMID: 23439901, DOI: 10.1542/peds.2012-0607.Peer-Reviewed Original ResearchQualitative Evaluation of Just-in-Time Simulation-Based Learning
Kamdar G, Kessler DO, Tilt L, Srivastava G, Khanna K, Chang TP, Balmer D, Auerbach M. Qualitative Evaluation of Just-in-Time Simulation-Based Learning. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2013, 8: 43-48. PMID: 23299050, DOI: 10.1097/sih.0b013e31827861e8.Peer-Reviewed Original Research