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Tools, training programs and consultative services that simplify concepts and successfully build skills are available for all steps needed to perform and successfully achieve evidence-based clinical quality improvements for value. We customize our work to meet your needs.

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Delfini Group EBM Dolphin

Also creators of
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  1. Health Care System Tools

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Terms of Use
In downloading or reviewing any of these tools or revewing any the information conveyed in this website which represents our original work, you implicitly agree that you have read our Notices and that you will not use these tools for any commercial purpose outside of delivering usual patient care such as would be provided by a health care system or individual clinician or by an EBM work group, plus that you will seek our permission to create any derivative work or for any work utilizing any part of these tools in publication. You also agree that you will abide by the spirit of this intended agreement, and what it is attempting to effect, regardless of its specific wording. Lastly, you agree that you will convey these stipulations to any to whom you provide copies of our work.

TOPICS FOR EVIDENCE-BASED PRACTICE TOOLS & EDUCATIONAL MATERIALS and more

IMPORTANT: Because we are continually refining our tools, we recommend that you download tools just-in-time rather than storing them on your own computer to ensure you are getting our best version.

• Denotes a Delfini Favorite or Frequently Used tool

Delfini Primer Series — mini lessions and helpful tips

Critical Appraisal Primers

  1. Quick Critical Appraisal Checklist for Efficacy of Therapeutic Interventions (with supplemental questions for diagnostic testing and screening) [WORD] & [PDF]
  2. The Problems with Case Series [PDF] & [WORD]
  3. updated! The Problems with the Use of Observational Studies to Draw Cause and Effect Conclusions About Interventions [PDF] & [WORD]
  4. The Problems with Narrative Reviews [PDF] & [WORD]
  5. Evidence Essentials web page for information on a variety of important topics Online
  6. new! Attrition Bias [PDF] & [WORD]
  7. Pearls: Reminders for Validity Detectives for Critical Appraisal for Efficacy of Therapies [PDF] & [WORD]
  8. new! RCT Design Goals - Superiority, Equivalence & Non-inferiority [PDF] & [WORD]
  9. new! Confidence Intervals & Their Use for Interpreting Significance of Results [PDF]
  10. new! Oncology Outcomes [PDF]

Diagnostic Testing Primer

  1. Evaluating Diagnostic Tests: Challenges with Measures of Test Function [PDF] & [WORD]

Measurement Primer (including Performance Measures)

  1. Quality Measurement Efforts: Primer [PDF]

Delfini White Papers & Publications

Delfini Tools

Delfini Health Care System Tool Set

  1. Effective & Efficient Meetings [WORD]
  2. Evidence-based Value Model for Clinical Quality Improvement — (mini-version only online)
  3. EBM Organizational Readiness Tool [WORD]
  4. EBM Committee Tips Tool [WORD]
  5. See Formulary Management Tool Set below
  6. EBM Medical Technology Assessment Committee Tips Tool — available only through programs
  7. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
  8. Health Care Quality System Assessment Tool [PDF] and [WORD]
  9. newly available! Suggestions for Evidence-based Quality Improvement Teams: Conducting Projects [WORD]
  10. The Return-on-Investment for EBM [online]
  11. newly available! Performance Measures Tool (including selecting good projects) [WORD]

Delfini EBM Utility Tool Set

  1. EBM Glossary Online
  2. Searching the Medical Literature Tool [WORD]
  3. Evidence Review Planning Tools
      • Ideals [WORD]
      • Search Documentation [WORD]
  4. Web Links Online

Delfini Evidence Tool Set

  1. Study Summary & Critique [WORD]
  2. Ideal Study Parameters [WORD]
  3. Evidence Grading, Wording Conclusions & Results Tables [WORD]
  4. Study Validity & Evidence Usability Assessment Tool Kit
    • Primary Sources - long version [WORD]
    • Quick Critical Appraisal Checklist for Efficacy of Therapeutic Interventions (with supplemental questions for diagnostic testing and screening) [WORD] & [PDF]
    • new! Streamlined for on-line application: Mini-version of our critical appraisal tool for primary studies of interventions [WORD]
  5. Pearls: Reminders for Validity Detectives for Critical Appraisal for Efficacy of Therapies [PDF] & [WORD]
  6. Systematic Review Validity Tool [WORD]
  7. Project Appraisal Tool (this tool can be used to evaluate and critically appraise Secondary Sources — meaning any healthcare information source utilizing medical science) [WORD]
  8. Cochrane/Clinical Evidence Summary Template [WORD]
  9. Evidence Synthesis [WORD]
  10. More available online help at Evidence Essentials Online
  11. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
  12. Intervention Review Template — available only through programs
  13. Intention-to-Treat Analysis Calculator [Excel]
  14. new! Oncology Outcomes [PDF]

Delfini Formulary Management Tool Set
See also our publication pages:

Formulary Publication Page
Evidence-based Pharmacotherapy Publication Page

California Pharmacist Publication Page

  1. See above for Health Care System Tool Set for Committee Tips Tool
  2. See above for Evidence Tool Set
  3. EBM Pharmacy & Therapeutics Committee Tips Tool — available only through programs
  4. Intervention Review Template — available only through programs
  5. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
  6. See below for Cost Analysis Tool Set

Delfini Diagnostic Testing Tools

  1. Diagnostic Testing Calculator [Excel]
  2. Evaluating Diagnostic Tests: Challenges with Measures of Test Function [PDF]

Delfini QI Project Tool Set

  1. Project Proposal [WORD]
  2. Project Appraisal (critical appraisal tool for secondary sources — i.e., sources utilizing primary or secondary studies — including clinical guidelines) [WORD]
  3. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
  4. Project Change Assessment [WORD]
  5. Project Implementation [WORD]
  6. Performance Measures (including selecting good projects) — [WORD]
  7. Performance Measures — Quick Tips Checklist [Online]

Delfini Cost Analysis Tools

  1. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
  2. NNT Comparison Calculator [Excel]
  3. Electronic Spreadsheet Templates & Approaches (for ideas only!)
    Example for projecting impacts of change - Hypothetical Venous Ulcer Project [PDF] & [Excel] (There is no guarantee on the formulas, utility or anything else — you will need to examine closely and apply your own Excel skills and common sense to use!)
    • & Approaches (example online at On The Same Page™ - Flowing Evidence into Cost Analysis: Powerful Ways with NNT)
    • IBS Example — Impact Assessment Template & Sample: Spreadsheet template included as an optional, customizable aid designed to help health care organizations project potential changes which may result from successful guideline implementation. A completed tool is included as an example and was constructed using assumptions generated through meetings with national medical leaders. Overwrite these assumptions to reflect your own along with your local conditions. Use to perform sensitivity analyses. Useful, when modified, for other clinical improvement projects. Click here to download the sample tool — Impact Assessment Template [Excel]

Delfini Patient-centered Communication Tools

For Health Care Providers:

  1. Patient Information & Decision Aids Tool [WORD]
  2. Rx Messaging Scripts Template— targeted treatment messaging & decision support tools for specific clinical topics; can also be used in conjunction with the Delfini Patient Information & Decision Aid Tool for greater depth of script or aid development [WORD]
  3. Patient Information & Engagement Encounter Map — communication tool. Direct help for physicians and others who directly engage with patients to provide information, decision and action-oriented information, especially during clinical encounters. [PDF] & [WORD]
  4. On the Same Page ™ — for Practitioner/Patient Information & Decision Aids

For Patients:

  1. Consumer Tips To Aid in Evaluating Health Care Quality [WORD]

Delfini EBM Evaluation Tools

  1. Health Care Quality System Assessment Tool [PDF] and [WORD]
  2. Consumer Tips To Aid in Evaluating Health Care Quality [WORD]
  3. Law & Medicine: Checklist for Evaluating the Evidence-based Medicine Approach of Medical “Experts” [WORD]

Delfini Law & Medicine Tool

  1. Checklist for Evaluating the Evidence-based Medicine Approach of Medical “Experts” [WORD]

Delfini Meeting & Office Management Tools (see above in various sections for EBM Committee tools)

  1. Effective & Efficient Meetings [WORD]
  2. Agenda Builder (no instructions provided and requires knowledge of Excel) [Excel]
  3. Webinar Tips [WORD]

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

Evidence Reviews & Clinical Content
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

Quality Improvement Teams
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...

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.

Delfini About Our Work Delfini Group EBM DolphinDelfini Group EBM Dolphin

Resources at —

 


 

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Use of this website implies your agreement to our Notices.

EBM Solutions for Evidence Based Health Care Quality