Delfini Evidence-based Medicine Logo

Evidence-based Practice Resources & Services for Health Care Quality
Help for Health Care Decision-makers & Help to Achieve Value & Patient-centered Care

Quality Help for Quality Care Including Free Evidence-based Resources & Tools including critical appraisal tools

An evidence-based healthcare approach matters to care for patients effectively, improve patient safety and reduce waste.

If you are engaged in medical decision-making, improving health care quality, medical education or education for other related professions such as pharmacy or nursing, or if you are in need of evidence-based medical information or the skills to do evidence-based work yourself, Delfini can be of assistance to you. We can help you improve patient care in many ways.

Quick Selections

Quality in healthcare for your patients will be enhanced by using our evidence-based training, successful health care quality improvement methods, our rigorous approach to scientific review for developing clinical information and our patient-centered approach to patient communications and decision-making.

Sample evidence-based training outline for conducting scientific review through critical appraisal: Using Medical Literature: A Simplified Approach

Questions for Sheri & Mike? Write us at delfini@delfini.org

Delfini Group EBM DolphinDelfini Group EBM Dolphin

Areas.We.Provide.Help.In

• Help for organizations to position for evidence-based care and health care quality; help for healthcare leaders and for individuals

• Medical education and continuing medical education resources to provide evidence-based practice (EBP) training in evidence-based medicine (EBM), evidence-based nursing & other disciplines — we provide training in, and facilitation of, all aspects of evidence-based health care such as in critical appraisal to help you with medical literature review of scientific research studies and in performing all aspects of healthcare quality improvement activities

• How to perform a scientific review such as a systematic review and evidence synthesis and how to create a clinical review, clinical recommendation, clinical practice guideline, drug monograph, medical technology assessment, scientific research paper, performance measure, medical decision-making support such as communication aid and shared decision-making aid, patient safety advisory or other evidence-based clinical information

• We can be engaged to perform scientific literature reviews to create systematic reviews, including comparative effectiveness research (CER), and can supply any kind of clinical content or clinical information item you wish such as those listed including clinical guidelines, drug monographs, decision support and more

• Help for committee work such as pharmacy and therapeutics committee (P & T committee) or medical technology assessment by providing evidence-based guidelines and process steps including tips for all aspects of committee work from committee management, structures, processes and to clinical pharmacist education to inform all aspect of staff work such as conducting evidence-based reviews, development of drug monographs, meeting presentations and more such as formulary management advice

• Help for quality improvement teams by providing facilitation of facilitation of steps in systematic literature review, clinical practice guidelines development and clinical improvement projects, including project selection for success, cost analysis, implementation strategies and measuring performance for quality improvement in health care

• Healthcare leadership help — if you are a healthcare leader, especially a medical leader or pharmacy leader, we have special help for you through our services and through our other website, medicalleaders.org — we can provide a variety of services including strategies for effectiveness in quality management in healthcare, how to identify good clinical practice guidelines, patient-centered care strategies including doctor patient communication training, performance measurement training and development of effective performance measures, tips for meeting management and more in your efforts for improving healthcare quality in your organization to provide true evidence-based health care

• More to achieve quality in healthcare...

There is a difference between “knowing the evidence” and
knowing what evidence is valid & clinically useful. If you lack critical appraisal skills, all studies will look the same to you.

EBM Sheri Ann StriteEBM Michael Stuart MD

        Sheri Ann Strite  &  Michael E. Stuart MD
   Principal & Managing Partner      President & Medical Director


Home
.......
Home
What's New
Intro Links

Services
Resources
Success Stories
Notices
About Us
About Our Work
Testimonials
Other
Site Navigator
Contact Us

Site Search
.......

delfini.org
Delfini Group EBM Dolphin

Also creators of
medicalleaders.org

What People Are Saying
"...impressive....
. terrific conference... impressive tools... already using in real life... valuable, fun, memorable... made hard stuff easy to understand... helped us change... real success... improved patient care... invaluable..."

Delfini average training program scores are 4.8 out of 5.0

"... gifted facilitators and passionate educators... have rarely encountered presenters so well-prepared and well-versed in their subject matter... both are engaging, up-beat and empowering... extremely generous with their knowledge and expertise..."

See all our Testimonials


Quick Navigator to Selected Resources:

Announcing the Delfini Summer Seminar
July 28 & 29, 2010—Portland Oregon

Portland EBM Conference Location

new! Continuing education credit (11 hours) may be earned by pharmacists in the States of Washington and Oregon.

Why You May Want to Know About Delfini
We are practitioners, facilitators and trainers in applied evidence- and value-based health care quality improvements and methods, and our work is well-regarded as providing effective help to achieve successful outcomes.  We specialize in health care quality improvement through evidence-based practice and value-based approaches to inform medical decision-making. We provide services and, as a public service, we also make many tools and resources freely available online.

  • "Applied" EBM
    We have considerable real-world and real-tested experience, we take a practical and an efficient approach
  • Quality Products
    Our products are rigorous, transparent and useful to users ranging from clinicians to patients
  • Making Evidence-based Improvements Easily Doable
    Our tool-based training and simplified approaches make evidence-based health care quality improvement work comprehensible and readily doable
  • Immediate Gains Without Undue Pain
    We make learning entertaining and focus on creating success — we help people realize success rapidly
  • Filling a Critical & Unmet Need
    Most people are unaware just how big the problems are with potentially misleading science and most health care information sources. We have the "evidence-on-the-evidence" and details on the importance of an evidence-based approach (including information on how this is currently falling short in most ways)
  • Effective
    We have evidence of our effectiveness — we can help you and your patients
  • Free Resources & Tools
    We are public-service minded and passionate about helping others and so we make many resources freely available on our website including much of our own work including our well-received practical, popular and useful EBM tools. Download our 1-page critical appraisal checklist here. Many more tools are available at our Resources page.
  • Comprehensive
    In addition to evidence assessment work and training, we provide help for all other aspects of health care quality improvement steps including cost-analysis, implementation, health care communications and performance measurement including pay-for-performance (P4P), as examples.

How Delfini Can Help You

Delfini can —

  • Evidence Evaluations
    Evaluate and synthesize the medical science
    for your clinical area of interest; for example, we can critically appraise comparative effectiveness reviews (CER) for you — we are recognized for our rigor and our transparency
  • Evidence-based Training

Delfini Workshop

EBM Demystified: A Practical, Simplified Approach for Evaluating the Medical Literature—
What You Don’t Know Can Hurt You

We can teach you how to evaluate medical science: Simply, effectively and in a very short period of time — and without it being too hard; without it being boring.

See sample EBM course training topics.

Contact Us for more information

  • Health Care Information
    Create clinical recommendations and clinical guidelines — rigorous and usable
  • Healthcare Clinical Quality Improvements
    Help you accomplish a clinical quality improvement project and successfully implement it, creating clinical practice change— we have many success stories far beyond the examples on our website
  • Committee Help
    Help make your medical decision-making committee (such as your Pharmacy and Therapeutics Committee (P & T Committee) or Medical Technology Assessment Committee) more efficient, effective and quality-based — we have vast experience in helping staff work better, smarter, more knowledgably and more effectively and making these committees run well and make high quality decisions
  • Quality Improvement Methods
    Help make the outputs of your Quality Department more efficient, effective and evidence-based
  • Help to Create an Evidence-based Organization
    Evaluate how well your health care organization is structured to practice evidence-based clinical quality improvement
  • Performance Measurement
    Help you develop effective and responsible performance measures
  • Patient-centered Care & Healthcare Communications
    Help doctor patient communication and help others communicate with patients better
  • Decision & Communication Aids
    Create effective and informative communication aids such as decision support (or teach you to do this effectively yourself)
  • Medical Education, Pharmacist Education, Nursing Education & Education Opportunities for Other Groups Including Legal Professionals and Design Professionals
    Create meaningful and enjoyable medical education conferences and other educational conferences for medical and related professions such as pharmacy, nursing, dental, employers, legal, architectural and — importantly patients — as well as others
  • And more…
 

Why This Is Important To You:

Why We Can Help You:

We are leaders in evidence- and value-based healthcare quality improvement methods and experts in evidence-based medicine (EBM) and evidence-based practice (EBP) in related disciplines, with proven methods for accomplishing quality in healthcare that are rigorous, yet simplified; that are easy to use and that work. (And despite the rigorous demands of science, we are warm, flexible, helpful and fun.)

Delfini provides help for organizations, leaders, committees such as pharmacy and therapeutics, medical technology assessment, quality teams and other EBM and quality improvement work groups, individual physicians, pharmacists, nurses, other health care professionals, scientists, guideline developers, content developers, most importantly patients and more...you will find many helpful tips and tools free on our website...

Delfini Services

We offer a wide range of supportive services with the ultimate goal of increasing health care organizations’ and clinicians’ abilities to provide high quality, evidence-based care and to improve medical decision-making for organizations, leaders, teams, clinicians and patients.

Using our evidence-based training, our successful health care quality improvement methods and our rigorous approach to scientific review for developing clinical information, quality in healthcare will be enhanced through evidence-based care that is patient-centered and improved patient safety.

For example, whether you are a —
  • Medical leader seeking good clinical practice guidelines...
  • Healthcare leader looking for ways to improve health care quality management...
  • Physician interested in creating a clinical review to provide evidence-based health care...
  • Clinical pharmacist leader working to establish a high quality medical formulary or hospital formulary...
  • Nurse interested in evidence-based practice nursing...
  • Member of medical leadership seeking to implement health care performance measurement or part of a healthcare leadership team tasked with measuring performance through a quality management in healthcare effort...
  • Physician, clinical pharmacist or nurse looking for better ways to communicate with patients...
  • Medical librarian seeking ways to better help answer clinical questions...

You want to utilizing scientific research in the right way to perform all these tasks to create informative evidence-based reviews or to create improvements in care.

Quality of healthcare is affected by the use of valid (meaning “probably true”) and clinically useful scientific information obtained through a systematic literature review (known as systematic review) utilizing effective scientific review methods for critical appraisal of the medical literature.

Quality improvement in healthcare through such evidence-based reviews can be used to guide the formulation of evidence-based guidelines, treatment choices through formulary development, evidence-based practice nursing and more.

Improving healthcare quality for effective patient centered care and patient safety also requires effective implementation strategies of such items as evidence-based clinical care guidelines to effect clinical behavior change.

We can help you with all of these tasks — and more — including managing your evidence-review and clinical quality improvement committees, from staffing to membership, to structures, processes, procedures and more.

We can help healthcare leaders and individuals.

Delfini Resources

We provide on our website a wealth of free information: commentaries and other help such as self-learning modules, health care quality improvement tools, evidence review tools, reading recommendations and a simplified glossary to name just a few examples. We offer support to help you help patients make health care decisions based on their own values and preferences by providing ways to help them better understand the implications of science and the various choices available to them.

About Delfini Services

Delfini services include a broad range of clinical improvement activities including —

  • How do you know if a meta-analysis is reliable in assisting you with providing value-based healthcare? We provide evidence-based teaching through training programs such as including critical appraisal of the medical literature training to help you successfully evaluate the medical literature, including primary studies, secondary studies such as systematic reviews and meta-analyses, and secondary sources such as clinical guidelines. We provide otehr medical education offerings as well for health care quality improvement, medical decision-making, measurement and more;
  • Facilitating and training in clinical practice guideline development and clinical health care quality improvement projects;
  • Clinical improvement facilitation and committee assistance such as for quality improvement teams, pharmacy and therapeutics committees and medical technology assessment committees and their projects; and,
  • Conducting systematic literature review of the scientific literature for many purposes such as clinical guidelines, qualitative systematic review, drug monographs, medical technology assessments and more to ensure high quality of health care.
  • We offer help in medical decision-making methods including creating decision-support materials and improved doctor patient communications (see our GLIDE physician patient communications tool which was a favorite of John Coombs MD of the University of Washington and advanced-program Tulsa attendees).
  • We can help your organization be primed and structured for health care quality improvement. We evaluate the quality systems of your health care organization and consult on your clinical improvement initiatives, including performance measurement.

Our consultations are wide-ranging, but always with an eye first to the evidence, taking into considerations other factors in health care decision-making. Read here if you haven't already to see why this is our focus.

Read more about our Evidence-based Healthcare Quality Improvement Services

 

Delfini IS UNIQUE
Delfini is unique in the world of EBM and clinical health care quality improvement. We practice applied evidence-based medicine, and we are applauded for our simplified methods, confidence-building experiences and practical tools. Many of our tools and resources are freely available on our website.

WE HELP OTHERS BE SUCCESSFUL — WE CAN HELP YOU BE SUCCESSFUL
We have accolades for our work and evidence of our effectiveness. We have numerous testimonials from professors and other academicians, health care leaders including those involved in performance measurement, pharmacy and therapeutics and medical technology assessment committees, quality improvement teams, physicians, pharmacists, nurses, residents, students, guideline developers, content developers, employers, judges and many others.

Our training programs are popular. We make hard concepts and process steps easy to understand, and we make learning them entertaining. The proof is in our testimonials and evaluation scores which average 4.8 out of 5.0. Our website has been praised as a useful source for clinical improvement information which we add to regularly.

Delfini About Our Work Delfini Group EBM DolphinDelfini Group EBM Dolphin

Resources at —

AN INTRODUCTION TO OUR WEBSITE (use of which implies an agreement to our Notices)
Health care seems like a shipwreck at times. Yet there are islands of hopefulness. Much of the territory is uncharted; yet there is potential for relief and direction. We want to provide islands of hopefulness to you. Our goal is to provide you with help to foster clinical quality care efforts. See below for some key links to information of import to you.

Delfini boat

Photo courtesy of Bat Shunatona, MD
OMNI Medical Group, Tulsa OK
Inspirational Colleague & Delfini Booster

What's @ www.delfini.org

Some Introductory Links

Some Inspirations &     Edifications

Click the dolphin periodically for Evidence Commentaries & Quality Improvement nibblets...

Delfini Group EBM DolphinDelfiniClick

The Delfini Mission
Our mission is to improve health care quality and use of resources by assisting medical leaders, health care professionals and others interested in and affected by health care decisions by —

  • Bringing science into medical practice in an easy-to-understand way.
  • Using simplified methods to help navigate the complexities of such areas as evidence-based medicine, clinical improvement and other topics.
  • Building competencies and confidence in improving medical care through our consultations, training programs and tools.
  • Providing inspiration to others to improve medical care and help bring about needed change.

...............................................
Contact Delfini

Delfini Group Delfini Group EBM DolphinDelfini Group EBM Dolphin

You can reach us at delfini (at) delfini.org

Write us for our periodic DelfiniGram for announcements of updated tools and information, contact us with questions or just to say hello.

Warm best from Delfini

 

Return to Top

© Delfini Group, LLC, 2002-2010. All Rights Reserved Worldwide.
Use of this website implies your agreement to our Notices.

EBM Solutions for evidence-based Health Care Quality