Director of Quality Improvement, Section of Hospital Medicine
Recognition & Awards
"Interventions to Reduce Over-Utilized Tests and Treatments in Bronchiolitis," was selected as one of the six most impactful articles published in 2018, Journal of Hospital Medicine
(2019)
Courtney L Edgar–Zarate, MD, Christopher J Russo, MD, Updates in Pediatric Hospital Medicine: Six Practical Ways to Improve the Care of Hospitalized Children. J. Hosp. Med 2019;7;436-440
Nicholas E. Davies Award of Excellence for outstanding achievement utilizing health IT, organizational culture, and process improvement, Healthcare Information and Management Systems Society (HIMSS)
(2018)
Top Published Articles Relevant to Pediatric Hospital Medicine in 2018, Society of Hospital Medicine National Conference
(2018)
Best Poster Award for Reducing Unnecessary Utilization in Bronchiolitis, American Academy of Pediatrics Council on Quality Improvement and Patient Safety
(2016)
Research Interests
As an implementation scientist, Dr. Tyler’s research focuses on “de-implementation” to identify processes and strategies to stop or reduce over-testing and over-treatment that can be broadly adapted to varied contexts and disease processes to improve the delivery of guideline concordant, evidence-based care and improve patient outcomes.
Publications
Tyler A, Bryan MA, Zhou C, Mangione-Smith R, Williams D, Johnson DP, Kenyon CC, Rasooly I, Neubauer HC, Wilson KM. Variation in Dexamethasone Dosing and Use Outcomes for Inpatient Croup. Hosp Pediatr. 2022 Jan 1;12(1):22-29. PubMed PMID: 34846064
Tyler A, Bryan MA, Zhou C, Mangione-Smith R, Williams D, Johnson DP, Kenyon CC, Rasooly I, Neubauer HC, Wilson KM. Variation in Dexamethasone Dosing and Use Outcomes for Inpatient Croup. Hosp Pediatr. 2022 Jan 1;12(1):22-29. PubMed PMID: 34846064
Fritz CQ, Martin B, Riccolo M, Fennell M, Rolison E, Carpenter T, Bajaj L, Tyler A, Brittan M. Reducing PICU-to-Floor Time-to-Transfer Decision in Critically Ill Bronchiolitis Patients using Quality Improvement Methodology. Pediatr Qual Saf. 2022 Jan-Feb;7(1):e506. PubMed PMID: 35071949
Navanandan N, McNulty MC, Suresh K, Freeman J, Scherer LD, Tyler A. Factors Associated With Clinician Self-Reported Resource Use in Acute Care and Ambulatory Pediatrics. Clin Pediatr (Phila). 2022 Oct 5;:99228221128074. [Epub ahead of print] PubMed PMID: 36199256
Guerin R, Glasgow R, Tyler A, Huebschmann A. Methods to Improve the Translation of Evidence-based Interventions: a Primer on Dissemination and Implementation Science Methods for Occupational Safety and Health Researchers and Practitioners. Safety Science. 2022 August; 152. https://doi.org/10.1016/j.ssci.2022.105763
Tyler A, Dempsey A, Spencer S, Freeman J, McGwire G, Marsh R, Morris MA. Do the Guidelines Apply?-A Multisite, Combined Stakeholder Qualitative Case Study to Understand Care Decisions in Bronchiolitis. Acad Pediatr. 2021 Aug 8. [Epub ahead of print] PubMed PMID: 34375754
Tyler A, Glasgow RE. Implementing Improvements: Opportunities to Integrate Quality Improvement and Implementation Science. Hosp Pediatr. 2021 May;11(5):536-545. PubMed PMID: 33910971
Widmer K, Schmidt S, Bakel LA, Cookson M, Leonard J, Tyler A. Use of Procalcitonin in a Febrile Infant Clinical Pathway and Impact on Infants Aged 29 to 60 Days. Hosp Pediatr. 2021 Mar;11(3):223-230. PubMed PMID: 33597148
O'Hara K, Tanverdi M, Reich J, Scudamore DD, Tyler A, Bakel LA. Qualitative Study to Understand Pediatric Hospitalists and Emergency Medicine Physicians' Perspectives of Clinical Pathways. Pediatr Qual Saf. 2020 Mar-Apr;5(2):e270. PubMed PMID: 32426636
Bryan MA, Tyler A, Zhou C, Williams DJ, Johnson DP, Kenyon CC, Haq H, Simon TD, Mangione-Smith R. Associations Between Quality Measures and Outcomes for Children Hospitalized With Bronchiolitis. Hosp Pediatr. 2020 Nov;10(11):932-940. PubMed PMID: 33106253
O'Hara K, Tanverdi M, Reich J, Scudamore DD, Tyler A, Bakel LA. Qualitative Study to Understand Pediatric Hospitalists and Emergency Medicine Physicians' Perspectives of Clinical Pathways. Pediatr Qual Saf. 2020 Mar-Apr;5(2):e270. PubMed PMID: 32426636
Bryan MA, Hofstetter AM, Simon TD, Zhou C, Williams DJ, Tyler A, Kenyon CC, Vachani JG, Opel DJ, Mangione-Smith R. Vaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses. Hosp Pediatr. 2020 Mar;10(3):199-205. PubMed PMID: 32041781
Bryan MA, Hofstetter AM, Simon TD, Zhou C, Williams DJ, Tyler A, Kenyon CC, Vachani JG, Opel DJ, Mangione-Smith R. Vaccination Status and Adherence to Quality Measures for Acute Respiratory Tract Illnesses. Hosp Pediatr. 2020 Mar;10(3):199-205. PubMed PMID: 32041781
Cotter JM, Tyler A, Reese J, Ziniel S, Federico MJ, Anderson Iii WC, Kupfer O, Szefler SJ, Kerby G, Hoch HE. Steroid variability in pediatric inpatient asthmatics: survey on provider preferences of dexamethasone versus prednisone. J Asthma. 2020 Sep;57(9):942-948. PubMed PMID: 31113252
Tyler A, Cotter JM, Moss A, Topoz I, Dempsey A, Reese J, Szefler S, Hoch H. Outcomes for Pediatric Asthmatic Inpatients After Implementation of an Emergency Department Dexamethasone Treatment Protocol. Hosp Pediatr. 2019 Feb;9(2):92-99. PubMed PMID: 30670462
Tyler A, Anderson L, Moss A, Graham J, Dempsey A, Carpenter T. Predictors of Symptom Rebound in Critically Ill Patients With Croup. Hosp Pediatr. 2019 Jun;9(6):447-454. PubMed PMID: 31076458
Cotter JM, Tyler A, Reese J, Ziniel S, Federico MJ, Anderson Iii WC, Kupfer O, Szefler SJ, Kerby G, Hoch HE. Steroid variability in pediatric inpatient asthmatics: survey on provider preferences of dexamethasone versus prednisone. J Asthma. 2019 Jun 12;:1-7. [Epub ahead of print] PubMed PMID: 31113252
Mangione-Smith R, Zhou C, Williams DJ, Johnson DP, Kenyon CC, Tyler A, Quinonez R, Vachani J, McGalliard J, Tieder JS, Simon TD, Wilson KM. Pediatric Respiratory Illness Measurement System (PRIMES) Scores and Outcomes. Pediatrics. 2019 Aug;144(2). PubMed PMID: 31350359
Nowacki K, Gonzalez T, Mehnert J, Jacquemard A, Tyler A. Using Patient Whiteboards to Engage Families in Harm Prevention and Care Planning: A Quality Improvement Study. Hosp Pediatr. 2018 Jun;8(6):345-352. PubMed PMID: 29773605
Tyler A, Krack P, Bakel LA, O'Hara K, Scudamore D, Topoz I, Freeman J, Moss A, Allen R, Swanson A, Bajaj L. Interventions to Reduce Over-Utilized Tests and Treatments in Bronchiolitis. Pediatrics. 2018 Jun;141(6). PubMed PMID: 29752289
Bakel LA, Wilson K, Tyler A, Tham E, Reese J, Bothner J, Kaplan DW. A quality improvement study to improve inpatient problem list use. Hosp Pediatr. 2014 Jul;4(4):205-10. PubMed PMID: 24986988
Brittan M, Tyler A, Martin S, Konieczny J, Torok M, Wheeler M, Boyer A. A Discharge Planning Template for the Electronic Medical Record Improves Scheduling of Neurology Follow-up for Comanaged Seizure Patients. Hosp Pediatr. 2014 Nov;4(6):366-71. PubMed PMID: 25362078
Tyler A, Boyer A, Martin S, Neiman J, Bakel LA, Brittan M. Development of a discharge readiness report within the electronic health record-A discharge planning tool. J Hosp Med. 2014 Aug;9(8):533-9. PubMed PMID: 24825848
Neuman MI, Hall M, Hersh AL, Brogan TV, Parikh K, Newland JG, Blaschke AJ, Williams DJ, Grijalva CG, Tyler A, Shah SS. Influence of hospital guidelines on management of children hospitalized with pneumonia. Pediatrics. 2012 Nov;130(5):e823-30. PubMed PMID: 23090342
Widmer K, Schmidt S, Bakel, LA, Cookson, M, Leonard, J, Tyler, A. Use of procalcitonin in a febrile infant clinical pathway and impact on infants aged 29-60 days. Hosp Pediatr.
Tyler A, Glasgow R. Implementing Improvements Opportunities to Integrate Implementation & Quality Improvement Science. Hosp Pediatr.
Fritz C, Martin B, Riccolo M, Fennell M, Rolison E, Carpenter T, Bajaj L, Tyler A, Brittan M. Reducing PICU-to-Floor Time-to-Transfer Decision in Critically Ill Bronchiolitis Patients Using Quality Improvement Methodology. Pediatric Quality & Safety