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

EBM Dolphins at Play

Quality Help for Quality Care for Free
Help in evidence-based practice, such as critical appraisal of the medical literature, freely available, to help you with medical literature evaluation and other aspects of evidence-based medicine and clinical healthcare quality improvement steps.

Delfini has many medical education resources, tools and more to help all professionals engaged in clinical quality improvement, medical decision making, improving health care quality, continuing medical education, patient-centered care, doctor patient communications, decision support and more.

If you are engaged in committee work such as pharmacy and therapeutics or medical technology assessment, you will find tips for monograph development, critical appraisal and skills needed for complex endeavors such as comparative effectiveness research (CER), evidence based guidelines, evidence based medicine, evidence based nursing and other aspects of evidence based care.

For those of you whose professional work involves leadership, we provide specifically tailored help in medical leadership, clinical practice guideline development, scientific reviews, cost analysis evaluation and more...

Click here periodically for Evidence Commentaries &
Quality Improvement nibblets...

EBM Dolphin
Delfini
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New! Announcing the Delfini Summer Seminar
July 28 & 29, 2010—Portland OR

Help Freely Available for increasing health care organizations’ and clinicians’ abilities to provide high quality, evidence-based care and improve medical decision-making for organizations, leaders, teams, clinicians, other health professionals and patients.

We are dedicated to helping improve healthcare. To that end, we make nearly all of our resources that we have created freely available on this website. We also find information and resources created by others that we believe will be helpful to you and frequently provide tips and commentaries on these other sources.


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delfini.org
Delfini Group EBM Dolphin

Also creators of
medicalleaders.org

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About Delfini & Our Work

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Quick Navigator to Selected Resources:


Page Navigation (also see Web Links for some non-Delfini online resources)

We add new items to our website several times a month. Check out "What's New," and feel free to surf our website for helpful information. Write us for our bi-monthly DelfiniGram for announcements of updated tools and information or contact us with questions.

Descriptive Listing of Resources Available @ www.delfini.org

1. New, News & Updates
What's New: learn what's been added to our sites by date since our last
DelfiniGram

2. Urgent Issues
Why Critical Appraisal Matters & Why This Website Can be Helpful to You: here's the big problem we are trying to help solve

3. Tools & Primers
Delfini Tools & Educational Materials: see the Menu under Terms of Use for
Delfini-authored checklists, calculators, white papers and other evidence-based practice and quality improvement tools including —

  • Primers & white papers
  • Health care system & QI project tools
  • Evidence evaluation tools including formulary decision-making & medical technology assessment tools
  • Diagnositic testing calculators
  • Cost analysis tools
  • Patient-centered tools
  • More

Favorites: Codes mark the newest additions or updates AND our favorite tools or the ones which are most popular.

4. Educational Resources
Evidence Essentials: self-study help for selected essentials of critical appraisal and other related evidence- & value-based practice and clinical quality improvement items

5. Success Stories, Samples, Examples, Case Studies & More
Delfini Showcase including —

6. Commentaries on Evidence- & Value-based Clinical QI
DelfiniClick: evidence commentaries & quality improvement nibblets — we frequently post our writings about studies or other articles of interest at the Click

7. Newsletter for Patient-centered Help
On the Same Page
: evidence-based information, communication aid and decision support examples for health care professionals & patients — Putting Everyone on the Same Page

8. Communication Samples for Conveying Evidence
Delfini
Rx Messaging Scripts
: Messaging scripts are targeted treatment messaging & decision support tools for specific clinical topics. Tool, and accompanying template, can help you construct your own. Samples are provided.

9. ROI for EBM
Return-on-Investment for EBM
: Depending upon your business model, there can be an important return-for-investment (ROI) for supporting an evidence-based practice

10. Clinical QI Model
Delfini Evidence- and Value-based Quality Improvement Model

11. Assessing Care Systems' Quality Approach
Health Care Quality System Assessment Tool
: this tool outlines key elements for a health care system to be positioned to practice an evidence-based approach for providing quality health care

12. Publications
Delfini Publications
including full online text for —

13. Online Resources of Others
Web Links: Other online sources for performing evidence- and value-based clinical quality improvement

14. Definitions
EBM Glossary and for consumers, About Evidence-based Medicine — for Consumers & their Clinicians

15. Reading
Recommended Reading for performing evidence- and value-based clinical quality improvement from a variety of authors and sources

16. Tests
A Little EBM Test

17. Special Help for Medical Leaders
Other Delfini Websites with helpful resources

18. General
Other resources relevant to our site

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Adobe Security Risk — 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

MindManager Viewer

"Invaluable information!"

    “The guidelines and tools that you provided have been invaluable and are used on an almost daily basis as I review journal articles and consensus guidelines and write clinical consults. These references along with those found on the web site are wonderful assets and are extremely useful! I have shared this information with other members of my team as well as students whom I have precepted."
    Clinical & Drug Information Resources Caremark Inc.
    Northbrook IL

Alphabetical Listing of Resources
(numbers do not correspond to descriptive listing order; synonyms applied)

See also entries in our newsletters and samples:

  1. A About EBM for Consumers
  2. About EBM
  3. Absolute Risk Reduction Explained
  4. Ace Inhibitors Messaging Script Example
  5. Alendronate Messaging Script Example
  6. American College of Physician Executives' Publication Page
  7. Applying Evidence: Readings About Use of Evidence at DelfiniClick ™
  8. Antidepressants Messaging Script Example
  9. Arthroscopic Lavage & Debridement For Osteoarthritis of the Knee
  10. Assessing Care Systems' Quality Approach
  11. B Beta-blocker Messaging Script Example
  12. Blood Pressure Messaging Script Example
  13. Blood Pressure Quality Project Improvement Initiative
  14. C California Pharmacist Journal Page
  15. Cardiovascular Disease: Risk Calculator for Primary Prevention
  16. Case Studies
  17. Charities: Delfini Supports
  18. Chronic Kidney Disease (CKD) Clinical Guideline
  19. The Click
  20. Clinical Guideline Critical Appraisal Tool
  21. Clinical QI Model
  22. Commentaries
  23. Communication Tools
  24. Confidence Intervals Explained
  25. Consumers & EBM
  26. Cost Analysis and Number-needed-to-treat (NNT)
  27. Cost Analysis Tools
  28. CPhA Journal Page
  29. "Creating evidence-based drug monographs and drug class reviews" article: Formulary
  30. "Creating the EBM Organization" Article Series: The Physician Executive
  31. Critical Appraisal Matters & Why
  32. Critical Appraisal Sample
  33. Critical Appraisal Tools
  34. D Decision Aid: Menopause
  35. Decision Aids: Various Topics
  36. Debridement & Lavage For Osteoarthritis of the Knee
  37. Deep Vein Thrombosis (DVT) Clinical Guideline
  38. Definitions
  39. DelfiniClick
  40. Delfini Favorites
  41. Delfini Rx Messaging Scripts
  42. Diabetic Retinopathy Messaging Script Example
  43. Diagnostic & Screening Studies: Readings About Quality of Evidence at DelfiniClick ™
  44. Diagnostic Testing Study Critical Appraisal Tools
  45. Doctor Patient Communication Tool: GLIDE
  46. Drug Review Summaries: RegenceRx®: a recommended site (with usual cautions) for evidence-based medical content
  47. DynaMed: a recommended site (with usual cautions) for evidence-based medical content
  48. E EBM (see Evidence-based Medicine Selections below)
  49. Elevated Blood Pressure
  50. EBM Defined: For Consumers & Their Healthcare Providers
  51. Evidence-based Medicine (EBM) Educational Resources
  52. Evidence-based Medicine (EBM) Explained
  53. Evidence-based Medicine (EBM) Glossary
  54. Evidence-based Medicine Test
  55. Evidence-based Medicine Tools
  56. Evidence-based Medicine Quiz Failures of Healthcare Professionals
  57. Evidence-based Pharmacotherapy Textbook Chapter
  58. Evidence Essentials
  59. Evidence Grading
  60. Evidence Grading (Delfini System)
  61. F Facts Sheet: Critical Appraisal & Problems in Science
  62. Favorite Tools: Delfini Tools
  63. Flu — DynaMed Influenza Portal
  64. Formulary Article: "Creating evidence-based drug monographs and drug class reviews"
  65. Formulary Management Tools
  66. G GERD/GORD: Review & Critique of Study —Improvement of gastroesophageal reflux symptoms after radiofrequency energy: a randomized, sham-controlled trial.
    Corley DA et al 03 PMID 12949712
  67. GLIDE Physician Patient Encounter Tool
  68. Glossary
  69. Good Works: Delfini Supports
  70. Grading Evidence
  71. Grading Evidence (Delfini System)
  72. Guideline: Irritable Bowel Syndrome (IBS)
  73. Guideline: Chronic Kidney Disease (CKD)
  74. Guideline: Venous Thromboembolism (VTE)/Deep Vein Thrombosis (DVT))
  75. H Healthcare Economic Study Evaluation Tool
  76. Healthcare Quality Improvement Project Tools (and scroll up to see more)
  77. Health Care Quality System Assessment Tool
  78. Hormone Replacement Therapy Messaging Script Example
  79. Hypertension
  80. I Intensive Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults: A Qualitative Systematic Review and Critical Appraisal of the Evidence: Juneja R, Stuart ME, Strite SA - American Diabetes Association Poster Presentation & Protocol
  81. Irritable Bowel Syndrome (IBS) Clinical Guideline
  82. Influenza — DynaMed Influenza Portal
  83. K Kaiser Permanente Hawaii Guideline - Chronic Kidney Disease Management and Referral
  84. Kaiser Permanente Hawaii Performance Improvement - Hypertension Management
  85. Kaiser Permanente Hawaii Guideline - Venous Thromboembolism (VTE)/Deep Vein Thrombosis (DVT)
  86. L Lavage & Debridement For Osteoarthritis of the Knee
  87. Legal Professionals Checklist for Evaluating EBM “Experts”
  88. Links to Non-Delfini Online Resources
  89. Literature Evaluation Tools
  90. M Measurement: in quality improvement work
  91. Measurement: performance measurement
  92. medicalleaders.org
  93. Medical Literature Assessment Tools
  94. Medical Research Studies: Readings About Quality of Evidence at DelfiniClick ™
  95. Medical Technology Assessment Tools
  96. Medical Technology Assessment: Lavage & Debridement for Osteoarthritis Knee
  97. Menopause Decision Aid
  98. Messaging Scripts
  99. Meta-analysis Critical Appraisal Tool (see Systematic Review Validity Tool)
  100. Missing Data Considerations: White Paper [PDF]
  101. N New: What's New at Delfini.org
  102. Number-needed-to-treat Explained
  103. Number-needed-to-treat in Cost Analysis
  104. O Observational Studies: Readings About Quality of Evidence at DelfiniClick ™
  105. On the Same Page (Patient-centered help)
  106. Online Resources (Non-Delfini)
  107. Online Resources (Non-Delfini) for Patients
  108. Oncology Outcomes Guide
  109. Osteoarthritis Knee: Lavage & Debridement Medical Technology Assessment & Systematic Review
  110. P Patient-centered Communications Ideas & Help
  111. Patient Communication Tools
  112. Patient Decision-making
  113. Performance Measurement Resources
  114. Pharmacoeconomic Study Evaluation Tool
  115. Pharmacotherapy (Evidence-based) Textbook Chapter
  116. Pharmacy and Therapeutics Committee Resources
  117. The Physician Executive Publication Page
  118. Primary Prevention of Cardiovascular Disease: Risk Calculator
  119. Primers
  120. Project Conduct Tips
  121. Publications (Delfini)
  122. Q Quality Improvement Model: Evidence- and Value-based
  123. Quality Improvement Project Management Tools (menu of tools)
  124. Quality of Care — From Variation to Improvement: Readings About Use of Evidence at DelfiniClick ™
  125. Quality of Evidence Readings at DelfiniClick
  126. R Recommended Reading
  127. RegenceRx®: Pharmacy Benefit Management drug review summaries: a recommended site (with usual cautions) for evidence-based medical content
  128. Relative Risk Reduction Explained
  129. Reporting Evidence: Readings About Use of Evidence at DelfiniClick ™
  130. Return-on-Investment (ROI) for EBM
  131. Risk Calculator for Primary Prevention of Cardiovascular Disease
  132. S Same Page (Patient-centered help)
  133. Sciatica Messaging Script Example [PDF]
  134. Screening & Diagnostic Studies: Readings About Quality of Evidence at DelfiniClick ™
  135. Searching the Medical Literature Tool (Under EBM Utility Tools)
  136. Secondary Sources: Readings About Quality of Evidence at DelfiniClick ™
  137. Secondary Studies: Readings About Quality of Evidence at DelfiniClick ™
  138. Self-funded Health Plans Page
  139. Services for Good: Delfini Supports
  140. Shared Decision-making
  141. Showcase
  142. Spine Care Quality Improvement Initiative
  143. Statins and Statins & Lipids: Two Messaging Script Examples
  144. Success Stories
  145. Suggestions for Evidence-based Quality Improvement Teams: Conducting Projects
  146. Swine Flu — DynaMed Influenza Portal
  147. Systematic Review Critical Appraisal Tool
  148. Systematic Review Example: Arthroscopic Lavage & Debridement For Osteoarthritis of the Knee
  149. T Test: EBM
  150. The Physician Executive Publication Page
  151. Tools
  152. Training Program Outline Sample: Understanding Medical Literature: A Simplified Approach
  153. V Venous Thromboembolism (VTE) Clinical Guideline
  154. W Web Links
  155. What's New
  156. White Papers

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

• 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...

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EBM Solutions for Evidence Based Health Care Quality