Delfini Notices
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Software Notices including Adobe Security Risk: Free downloads and a PDF warning
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Health Care Information Source Cautions: Cautions regarding all health care information sources and our advice
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Delfini Citation Practices: We utilize PMID numbers frequently instead of full citations
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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.
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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.
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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:
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- 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
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Health
Care Information Source Cautions
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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.
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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.
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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.
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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.
Notices
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