............................................................
Legal Notices & Disclaimers
Use of this Website Implies Your Agreement to Our Legal Notices:
In downloading or reviewing
any of these tools or reviewing 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.
Delfini Group, LLC, AND THE AUTHORS
MAKE AND USER RECEIVES NO WARRANTY EXPRESS OR IMPLIED ABOUT THIS WORK
AND ALL WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE
ARE EXPRESSLY EXCLUDED.
These materials
are not meant to replace the clinical judgment of any health care professional
or establish a standard of care. The information contained in this site
and any documents may not be appropriate for use in all circumstances.
Decisions to utilize any information contained in them must be made
by consumers and health care professionals in light of individual circumstances.
Before prescribing any medication, review full prescribing information.
Detailed information is available at MEDLINEPlus.
Information
may not be up-to-date. It is up to the user to update the information.
We make no
warranty, express or implied, or representation as to the accuracy,
sufficiency or continued currency of the information contained herein.
Persons using
this web site hereby agree to waive any and all claims they may have
against the authors and to release the authors from any and all liability
for any injury, loss, damage, expense, costs or relief of any kind whatsoever
due to or arising out of the uses of this web site or the information
contained herein.
............................................................
Terms
of Use
In downloading or reviewing any of these tools or reviewing
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.
............................................................
Software Notices including Adobe Security
Risk
Some of the offerings on our website involve the use of software for
which you need special readers. You can download these here:
-
- Adobe Security Risk
— Read this before opening PDF files on any website: http://www.usatoday.com/tech/news/computersecurity/2007-01-04-adobe-vulnerable_x.htm?csp=34
-
............................................................
Health
Care Information Source Cautions
-
You
should be aware that information contained in any
health care information source may be of varying quality.
Even sources you might assume "trustable," may have
generally great methods, but other factors — such as politics,
for example — may affect the content in important ways that
are not evidence-based practice.
- Evidence-based medicine
(EBM) is often misunderstood. Frequently the term "evidence-based"
may be applied to health care information which has not been derived
through an appropriate evidence-based process at all — which
requires a rigorous evaluation of the validity (meaning closeness
to truth) of studies and clinical usefulness of results, along with
transparency. Just because a clinical recommendation or other health
care information is referenced does not mean that information has
been appropriately critically appraised. Most
published medical science is either not valid and/or clinically
useful.
-
Unless
you are fully convinced the information is developed through a
rigorous and systematic process (and even if you are), it is strongly
advised that you use a tool – such as those found
in the Delfini Evidence Tool Set or the Delfini
QI Project Tool Set – to evaluate the validity
and potential usefulness of the information you may find. See
our Tools.
These can help you increase health care quality. Ultimately you
will need to apply your own judgment in determining whether a
source can be useful to you or not.
-
For
secondary studies and secondary sources, you may need to update
the information, using PubMed, for more current research following
the end of the search used in the source.
-
Calculators
should be viewed as providing estimates since we cannot verify
accuracy of such calculations such as confidence intervals.
- Not all clinical recommendations
from other sources have been reviewed for validity and ours may
or may not be up-to-date, so many selections should be viewed as
representing examples of approaches and formats for communications,
etc. Feel free to contact us for details.
............................................................
Delfini Citation Practices
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.