Full Text Journal Articles by
Author Gunjan Tiyyagura

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Impact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect.

Gunjan Tiyyagura, Andrea G Asnes, John M Leventhal, Amy Shah, Trisha Calabrese, Linda Radecki, Gloria Jeter, Marc Auerbach,

Acad Pediatr (Academic pediatrics)
[2019, :]

Cited: 0 times

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Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department.

Emily Powers, Gunjan Tiyyagura, Andrea G Asnes, John M Leventhal, Rebecca Moles, Emily Christison-Lagay, Shaina Groisberg, Marc Auerbach,

BACKGROUND:Physical abuse is a significant cause of infant morbidity and mortality. Early detection in the emergency department (ED) is crucial. OBJECTIVE:We describe the impact of a clinical pathway focused on early involvement of the child protection team (CPT) and social work (SW) team for infants presenting to a pediatric emergency ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2019, :]

Cited: 0 times

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Oral injuries in children less than 24 months of age in a pediatric emergency department.

Seth M Woolf, John M Leventhal, Julie R Gaither, Priyanka Hardikar, Melissa L Langhan, Kirsten Bechtel, Marc A Auerbach, Gunjan Tiyyagura,

BACKGROUND:Oral injuries in young children may indicate physical abuse. The prevalence of oral injuries in young children presenting to the emergency department is unknown. These data would assist providers in making decisions about the need for further abuse evaluation. OBJECTIVE:To determine the prevalence of oral injuries, associated chief complaints and ... Read more >>

Child Abuse Negl (Child abuse & neglect)
[2019, 89:70-77]

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A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments.

Gunjan Tiyyagura, Paula Schaeffer, Marcie Gawel, John M Leventhal, Marc Auerbach, Andrea G Asnes,

OBJECTIVE:Emergency department (ED) providers may fail to recognize or report child abuse and/or neglect (CAN). To improve recognition and reporting, we designed the Community ED CAN Program, in which teams of local clinicians (nurses, physicians, physician assistants) received training in CAN and 1) disseminated evidence-based education; 2) provided consultation, case ... Read more >>

Acad Pediatr (Academic pediatrics)
[2019, 19(4):438-445]

Cited: 0 times

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A Grounded Theory Qualitative Analysis of Interprofessional Providers' Perceptions on Caring for Critically Ill Infants and Children in Pediatric and General Emergency Departments.

Sandeep Gangadharan, Gunjan Tiyyagura, Marcie Gawel, Barbara M Walsh, Linda L Brown, Megan Lavoie, Khoon-Yen Tay, Marc A Auerbach, ,

OBJECTIVE:The objective of this study was to explore pediatric emergency department (PED) and general emergency department (GED) providers' perceptions on caring for critically ill infants and children. METHODS:This study utilized qualitative methods to examine the perceptions of emergency department providers caring for critically ill infants and children. Teams of providers ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2018, 34(8):578-583]

Cited: 1 time

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Occult abusive injuries in children brought for care after intimate partner violence: An exploratory study.

Gunjan Tiyyagura, Cindy Christian, Rachel Berger, Daniel Lindberg, ,

Children in homes with intimate partner violence (IPV) are at increased risk for physical abuse. We determined the frequency and injury patterns in children who underwent child abuse consultation after IPV exposure by retrospectively analyzing the "Examination of Siblings To Recognize Abuse" cohort of children referred for physical abuse. Children ... Read more >>

Child Abuse Negl (Child abuse & neglect)
[2018, 79:136-143]

Cited: 0 times

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Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment

Gunjan Tiyyagura, Meghan Beucher, Kirsten Bechtel,

Emergency clinicians are likely to encounter physical abuse in children, and they must be prepared to recognize its many manifestations and take swift action. Pediatric nonaccidental injury causes considerable morbidity and mortality that can often be prevented by early recognition. Nonaccidental injuries present with a wide array of symptoms that ... Read more >>

Pediatr Emerg Med Pract (Pediatric emergency medicine practice)
[2017, 14(7):1-32]

Cited: 0 times

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Facilitating Tough Conversations: Using an Innovative Simulation-Primed Qualitative Inquiry in Pediatric Research.

Ambrose H Wong, Gunjan K Tiyyagura, James M Dodington, Bonnie Hawkins, Denise Hersey, Marc A Auerbach,

Deep exploration of a complex health care issue in pediatrics might be hindered by the sensitive or infrequent nature of a particular topic in pediatrics. Health care simulation builds on constructivist theories to guide individuals through an experiential cycle of action, self-reflection, and open discussion, but has traditionally been applied ... Read more >>

Acad Pediatr (Academic pediatrics)
[2017, 17(8):807-813]

Cited: 2 times

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The association of nonaccidental trauma with historical factors, examination findings, and diagnostic testing during the initial trauma evaluation.

Mauricio A Escobar, Katherine T Flynn-O╩╝Brien, Marc Auerbach, Gunjan Tiyyagura, Matthew A Borgman, Susan J Duffy, Kelly S Falcone, Rita V Burke, John M Cox, Sabine A Maguire,

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2017, 82(6):1147-1157]

Cited: 1 time

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Parents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation.

Madeline L McCarthy, Lindsey T Chaudoin, Mark R Mercurio, Elizabeth G J O'Brien, Sweta Bhargava, Sarah Y Cohen, Marc Auerbach, Gunjan Tiyyagura,

When obtaining informed permission from parents for invasive procedures, trainees and supervisors often do not disclose information about the trainee's level of experience. The objectives of this study were 3-fold: (1) to assess parents' understanding of both academic medical training and the role of the trainee and the supervisor, (2) ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2017, :]

Cited: 0 times

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A Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine.

Ji Won Kim, Gunjan Tiyyagura, Melissa Langhan,

Most children in the United States are evaluated in general emergency departments (ED), which are staffed by practitioners who care for both adults and children and may have limited pediatric resources. The application of telemedicine in pediatrics is growing and has been shown to be effective in outpatient as well ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2017, :]

Cited: 0 times

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A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers.

Antonio Riera, Agueda Ocasio, Gunjan Tiyyagura, Anita Thomas, Patricia Goncalves, Lauren Krumeich, Kyle Ragins, Sandra Trevino, Federico E Vaca,

To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group.A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational ... Read more >>

J Asthma (The Journal of asthma : official journal of the Association for the Care of Asthma)
[2017, 54(6):624-631]

Cited: 0 times

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Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance.

Aimee Alphonso, Marc Auerbach, Kirsten Bechtel, Kyle Bilodeau, Marcie Gawel, Jeannette Koziel, Travis Whitfill, Gunjan Kamdar Tiyyagura,

To develop and provide validity evidence for a performance checklist to evaluate the child abuse screening behaviors of prehospital providers.Checklist Development: We developed the first iteration of the checklist after review of the relevant literature and on the basis of the authors' clinical experience. Next, a panel of six content ... Read more >>

Prehosp Emerg Care (Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors)
[2017, 21(2):222-232]

Cited: 0 times

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Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers.

Gunjan Kamdar Tiyyagura, Marcie Gawel, Aimee Alphonso, Jeannette Koziel, Kyle Bilodeau, Kirsten Bechtel,

Prehospital care providers are in a unique position to provide initial unadulterated information about the scene where a child is abusively injured or neglected. However, they receive minimal training with respect to detection of Child Abuse and Neglect (CAN) and make few reports of suspected CAN to child protective services.To ... Read more >>

Prehosp Emerg Care (Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors)
[2017, 21(1):46-53]

Cited: 2 times

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Qualitative Study Exploring Implementation of a Point-of-Care Competency-Based Lumbar Puncture Program Across Institutions.

Julie R Pasternack, Rita Dadiz, Ryan McBeth, James M Gerard, Daniel Scherzer, Gunjan Tiyyagura, Pavan Zaveri, Todd P Chang, Marc Auerbach, David Kessler,

To explore the factors that facilitated or hindered successful implementation of a multi-centered infant lumbar puncture (LP) competency-based education program that required interns to demonstrate skills readiness on a task trainer before performing their first clinical LP.In 2013, investigators conducted a qualitative study utilizing semistructured interviews and focus groups of ... Read more >>

Acad Pediatr (Academic pediatrics)
[2016, 16(7):621-629]

Cited: 1 time

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Barriers and Facilitators to Detecting Child Abuse and Neglect in General Emergency Departments.

Gunjan Tiyyagura, Marcie Gawel, Jeannette R Koziel, Andrea Asnes, Kirsten Bechtel,

Child abuse and neglect is common in the United States, and victims often present to emergency departments (EDs) for care. Most US children who seek care in EDs are treated in general EDs without specialized pediatric services. We aim to explore general ED providers' experiences with screening and reporting of ... Read more >>

Ann Emerg Med (Annals of emergency medicine)
[2015, 66(5):447-454]

Cited: 12 times

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Latino caregiver experiences with asthma health communication.

Antonio Riera, Agueda Ocasio, Gunjan Tiyyagura, Lauren Krumeich, Kyle Ragins, Anita Thomas, Sandra Trevino, Federico E Vaca,

In this article, we analyze qualitative data from a purposeful sample of limited English proficiency (LEP) asthma health caregivers. We used ethnically concordant, semistructured, in-depth Spanish-language interviews and a follow-up focus group to explore issues related to communication during pediatric asthma encounters in medical settings. Inductive coding of Spanish transcripts ... Read more >>

Qual Health Res (Qualitative health research)
[2015, 25(1):16-26]

Cited: 11 times

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The greater good: how supervising physicians make entrustment decisions in the pediatric emergency department.

Gunjan Tiyyagura, Dorene Balmer, Lindsey Chaudoin, David Kessler, Kajal Khanna, Geetanjali Srivastava, Todd P Chang, Marc Auerbach,

Graduate medical education is transitioning to the use of entrustable professional activities to contextualize educational competencies. Factors influencing entrustment decisions have been reported in adult medicine. Knowing how such decisions are made in pediatrics is critical to this transition.To understand how supervisors determine the level of procedural supervision to provide ... Read more >>

Acad Pediatr (Academic pediatrics)
[2014, 14(6):597-602]

Cited: 5 times

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Pediatric anaphylaxis management in the prehospital setting.

Gunjan Kamdar Tiyyagura, Linda Arnold, David C Cone, Melissa Langhan,

Anaphylaxis is a life-threatening systemic allergic reaction that occurs after contact with an allergy-causing substance. Timely administration of intramuscular epinephrine is the treatment of choice for controlling symptoms and decreasing fatalities. Our purpose was to investigate the prehospital management of anaphylaxis among patients receiving care in an urban tertiary care ... Read more >>

Prehosp Emerg Care (Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors)
[2014, 18(1):46-51]

Cited: 14 times

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Index of suspicion. Case 1: Fatigue, weakness, body aches, and metabolic alkalosis in a 15-year-old boy. Case 2: Refractory hypotension, tachycardia, hyperglycemia, and metabolic acidosis in an afebrile teen.

Darshita Bhatia, Matthew B McDonald, Gunjan Kamdar Tiyyagura, Janienne Kondrich,

Pediatr Rev (Pediatrics in review)
[2013, 34(4):192-195]

Cited: 0 times

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