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 Library: 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: At the Delfini Library, starfish mark our favorite tools or the ones which are most popular.

4. Educational Resources
Evidence Essentials—Critical Appraisal Tutorial: A brief (and hopefully fun) online tutorial on the basics of critical appraisal of therapeutic interventions. The emphasis is on evaluating efficacy claims of primary studies using superiority designs.

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

• Qualitative systematic review and medical technology assessment sample
• Critical appraisal example
• Guidelines & quality improvement project initiatives
• EBM training initiatives
• More 

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 —

• Medical leaders
• Process steps and suggestions for creating drug monographs and drug class reviews in an evidence-based formulary system
• Select critical appraisal examples
• More

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

• medicalleaders.org

18. General
Other resources relevant to our site

Acrobat Reader

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

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

See also entries in our newsletters and samples:

• DelfiniClick™ navigation
• Delfini Rx Messaging Scripts ™ navigation
• On the Same Page™ navigation
• Showcase: Samples, Case Studies & Examples navigation

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