Delfini NewSplashes™ — What's NEW at www.delfini.org
Quality Help for Quality Care Including Free Evidence-based Resources & Tools
An evidence-based healthcare approach matters to care for patients effectively, improve patient safety and reduce waste.
Help in evidence-based medicine (EBM) and evidence-based practice (EBP) in other disciplines as well such as critical appraisal of the medical literature to help you with medical literature evaluation, medical education, health care quality improvement, medical decision-making, health care quality, patient-centered care, doctor patient communications, decision support, committee work such as pharmacy and therapeutics and medical technology assessment including tips for drug monograph development, formulary work, leadership help, clinical guideline development, scientific reviews, cost analysis evaluation and more...
About PMID Numbers: We frequently utilize a PMID number in place of a citation. Where PMID numbers are available, enter that number into the PubMed search box to retrieve that citation and listing.
What's New?
03/10/10: Dan Allen of The Regence Group inspired a helpful modification to our Oncology Outcomes chart. In the future, it will be available at Tools > Primers. Thanks, Dan!
02/24/10: We have many resources freely available to help people learn (and avoid pitfalls of) performance measurement. We have now updated this page with sample training topics as well.
02/23/10: Oh, the pesky problems of attrition bias and missing data points. We have a new primer available on Attrition Bias including the "evidence on the evidence. Permanent home for our primers is at Tools > Primers where both the PDF and a Word version is available.
02/08/10: Our confidence interval training handout has been updated to show a nifty little way to understand why non-significant findings might simply mean there were not enough people studied to show a difference if there is one. In the future, it will be available at Favorites and at Tools > Primers.
01/25/10: New articles available online. Strite SA, Stuart ME. Getting Started with Critical Appraisal of Medical Literature: It Is Easier Than You Think. & Chan M, Fong P and Stern C. Chloramphenicol Wound Infection Prophylaxis. [evidence-based medicine review]. California Pharmacist 2009. Vol. LVI, No.4. Fall 2009: 56-58. (Stuart ME, Strite SA, peer reviewers and guest eds.) at our California Pharmacist publication page.
01/19/10: Our Messaging Script for Hormone Replacement Therapy has been updated.
01/12/10: PubMed is "new and improved" (we know it is new; we hope it is improved). In any event, it is different. Consequently, we have updated our Searching & Sources Tool. This tool will give you lots of step-by-step help for searching PubMed and will give you quality resources that are a good starting point for primary and secondary studies, secondary sources, guidelines, performance measures and more. At Tools > EBM Utility Tools.
01/11/10: Our website, www.pharmacyleaders.org, has now been consolidated into www.medicalleaders.org. We will still invite interviews by pharmacists, but with a focus on advice to assist medical leaders in their work. Resources for pharmacists will be available at the Medical Leaders site.
01/04/10: New and improved! If you are creating communication aids, our updated aid for creating Patient Tools may help you. And in case you recently downloaded our communication tool, the Patient Information & Engagement Encounter Map, download it again as it has been further upgraded today. Direct help for physicians and others who directly engage with patients to provide information, decision and action-oriented information, especially during clinical encounters. Thank you, Uncle Bill Ahuna, MD, for your suggestions! Both are available at Tools at the Delfini Patient-centered Communication Tools section via the Page Navigator and through Resources alphabetical index.
01/01/10: Happy New Year, people! And to start this year off, we transist time from the old to the new in the Western Hemisphere with the first New Year's Eve Blue Moon since 1990. May this be a magical and wonderful year! And to start things off in Delfini-land, the delightful and upbeat Dr. Mark Greenawald talks to us about leadership and how medical leaders should and can invite feedback to make them better leaders than ever in FEEDBACK: THE “MIRACLE GROW” OF PROFESSIONAL DEVELOPMENT at medicalleaders.org.
12/25/09: More Happy Holidayness — Evidence-based Merriment from the BMJ
12/24/09: Happy Holidays everyone! We have made a few improvements to our communication tool, the Patient Information & Engagement Encounter Map. Direct help for physicians and others who directly engage with patients to provide information, decision and action-oriented information, especially during clinical encounters. Thank you, Uncle Bill Ahuna, MD, for your suggestions! Both the PDF and a Word version are available at Tools at the Delfini Patient-centered Communication Tools section via the Page Navigator and through Resources alphabetical index. Mele Kalikimaka me ka Hau'oli Makahiki Hou!
12/16/09: Oncology presents special challenges for research and critical appraisal. We have developed a chart outlining various outcomes frequently used in oncology trials and provide commentary about these outcomes. The chart will be available at Tools and through Resources alphabetical index.
11/19/09: New tool. Suggestions for Evidence-based Quality Improvement Teams: Conducting Projects at Tools and through Resources alphabetical index.
10/29/09: Report in the New England Journal of Medicine on the State of Washington's Health Technology Assessment (HTA) program's coverage decisions which includes work completed by Delfini for which the state estimated their first-year cost-savings to be 1.8 million dollars for a procedure that has good evidence that it is ineffective.
Reference
Franklin GM, Budenholzer BR. N Engl J Med. 2009 Oct 29;361(18):1722-5. Implementing evidence-based health policy in Washington State. Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA, USA. PMID: 19864671
10/12/09: Pieter Cohen MD, Associate Program Director at Cambridge Health Alliance and Harvard Medical School Tutorial Course Director, who provided us with an interview at medicalleaders.org, has published a perspective in the New England Journal of Medicine on contaminated dietary suppliments that is available online.
10/10/09: We have just received and posted updated patient information for the Kaiser Permanente Hawaii Chronic Kidney Disease Guideline
09/28/09: At medicalleaders.org, interviews with medical leader, Tim Young MD, at about how patients deserve better and what to do about it, and interview with medical leader, Karen Ching MD, about important elements of success for the Kaiser Permanente Hawaii (KPHI): Prevention of Venous Thromboemobolism (VTE) in Total Hip and Total Knee Replacement Evidence-based Guideline and Quality Improvement Project.
Important News About the KPHI: Prevention of VTE in Total Hip and Total Knee Replacement Evidence-based Guideline and Quality Improvement Project
We are very pleased to be able to post the guideline and decision support. This evidence-based work is some of the most important we have been engaged in. Read more about this project and obtain the materials at the Delfini Project Showcase: Venous Thromboembolism (VTE) Prevention Project brought to you courtesy of Kaiser Permanente Hawaii and Delfini. There you can access the clinical practice guideline, clinician 1-pager and patient messaging script.
09/08/09: DynaMed's Influenza Portal is areely available to the public
09/02/09: Advanced Concepts: Can Useful Information Be Obtained From Studies With Significant Threats To Validity? A Case Study of Missing Data Points in Venous Thromboembolism (VTE) Prevention Studies at DelfiniClick ™
08/26/09: We have updated our EBM Committee Tips tool to include suggestions for committee member considerations when reviewing interventions as part of a Pharmacy & Therapeutics Committee or a Medical Technology Assessment Committee.
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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.
Areas We Provide Help In
• Creating
the EBM Organization • Creating the Evidence-based Practitioner
Help for organizations to position for evidence-based care and
health care quality; help for healthcare leaders and for individuals
• Evidence-based
Healthcare Educational Opportunities
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
• Evidence
Assessment Training
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
• Committee
Help
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
Delfini About Our Work
Resources at —
