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  • Delfini Click TM
    Delfini Project Showcase Nephrology Clinical Practice Guideline for Primary Care Also see On the Same Page for applying the evidence through patient centered resources Update on Decision Support for Clinicians and Patients Divulging Information to Patients With Poor Prognoses Network Meta analyses More Complex Than Traditional Meta analyses Quality of Evidence Observational Studies Comparative Effectiveness Research CER Big Data Causality Cochrane Risk Of Bias Tool For Non Randomized Studies Interesting Comparative Effectiveness Research CER Case Study Real World Data Hypothetical Migraine Case and Lack of PCORI Endorsement Comparative Effectiveness Research CER Warning Using Observational Studies to Draw Conclusions About Effectiveness May Give You The Wrong Answer Case Study Losartan Cause Effect Conclusions from Observations More on the Problem with Drawing Cause Effect Conclusions from Observational Studies Bias in Observational Studies More on HRT in Menopause Primary Studies General Concepts See also Delfini Commentary on Lies Damned Lies and Medical Science by David H Freedman The Atlantic November 2010 including a link to the article and our published Letter to the Editor How to Evaluate Medical Science The Atlantic January February 2011 Quality of Studies Lower Quality Greater Effect Size More Overestimation of Effect Size in Studies of Low Quality 5 A s of Evidence based Medicine PICOTS Using Population Intervention Comparison Outcomes Timing Setting PICOTS In Evidence Based Quality Improvement Work Comparison of Risk of Bias Ratings in Clinical Trials Journal Publications Versus Clinical Study Reports Must Clinical Trials be Randomized A Look at Minimization Methods Advice On Some Quasi Experimental Alternatives To Randomization Concealment of Allocation Blinding and RCTs Blinding and Objective Outcomes Open Label Trials and Importance of Blinding Even with Hard Outcomes Blinding in Surgery Trials The Importance of Blinded Assessors in RCTs Testing the Success of Blinding Time related Biases Including Immortality Bias Empirical Evidence of Attrition Bias in Clinical Trials Attrition Bias Intention to Treat Basics Loss to Follow up Update Intention to Treat Analysis the Effects of Various Methods of Handling Missing Subjects The Case of the Compelling Rationale See also Bell s Palsy Update for the addition of instructional slides to demonstrate how to perform a conservative intention to treat ITT analysis This is a primary studies issue but is stored in secondary studies for historical reasons concerning our initial commentary on a narrative review Intention to Treat Imputing Missing Variables Last Observation Carried Forward LOCF When We Might Draw Reasonable Conclusions Intention to Treat Analysis Censoring Rofecoxib Example Intention to Treat Analysis Misreporting and Migraine Missing Data Points Difference or No Difference Attrition Bias Caution Non differential Loss Between Groups Can Threaten Validity Attrition Bias and Baseline Characteristic Testing Esp for Non Dichotomous Variables Attrition Bias A Biostatistician Weighs In Dr Steve Simon on Why is a 20 dropout rate bad Quality of Studies VIGOR Avoiding Overestimates of Benefit Composite Endpoints in Cardiovascular Trials Confidence Intervals Power Meaningful Clinical Benefit Why Statements About Confidence Intervals Often Result in Confusion Rather Than Confidence Confidence Intervals Overlapping Confidence Intervals A Clarification Primary and Secondary

    Original URL path: http://www.delfini.org/delfiniClick.htm (2016-02-01)
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  • Evidence Based Health Care: Delfini Resources
    and value based clinical quality improvement from a variety of authors and sources 14 Tests A Little EBM Test 15 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 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 Delfini Click navigation Delfini Rx Messaging Scripts navigation On the Same Page navigation Showcase Samples Case Studies Examples navigation A About EBM Absolute Risk Reduction Explained Ace Inhibitors Messaging Script Example Alendronate Messaging Script Example American College of Cardiology American Heart Association Guidelines Numbers Needed to Treat NNTs for Statin Treatment in Primary Prevention of Cardiovascular Disease CVD American College of Physician Executives Publication Page Applying Evidence Readings About Use of Evidence at DelfiniClick Antidepressants Messaging Script Example Arthroscopic Lavage Debridement For Osteoarthritis of the Knee Assessing Care Systems Quality Approach B Beta blocker Messaging Script Example Biologics Safety Review Systematic Review Comparative Safety of Five Biologic Agents For The Treatment of Rheumatoid Arthritis Psoriasis and Psoriatic Arthritis Blood Pressure Messaging Script Example Blood Pressure Quality Project Improvement Initiative Breast Cancer Qualitative Systematic Review Breast MRI In Diagnosis and Treatment of Cancer in Women at High Risk C California Pharmacist Journal Page Cancer Studies Outcomes Guide Cancer Qualitative Systematic Review Breast MRI In Diagnosis and Treatment of Cancer in Women at High Risk Cardiovascular Disease Risk Calculator for Primary Prevention Case Studies Chronic Kidney Disease CKD Clinical Guideline The Click Clinical Guideline Critical Appraisal Tool Clinical Guideline Webinar G I N Guidelines International Network North America Webinar April 2013 How to Develop Guidelines Within the Context of a Clinical Quality Improvement Program Commentaries Communication Tools Confidence Intervals Explained Coronary Vascular Disease CVD Primary Prevention American College of Cardiology American Heart Association Guidelines Numbers Needed to Treat NNTs for Statin Treatment in Primary Prevention of Cardiovascular Disease CVD Cost Analysis and Number needed to treat NNT Cost Analysis Tools CPhA Journal Page Creating evidence based drug monographs and drug class reviews article Formulary Creating the EBM Organization Article Series The Physician Executive Critical Appraisal Demonstration Critical Appraisal Matters Why Critical Appraisal Matters Quick Facts 1 pager Critical Appraisal Sample Critical Appraisal Tools Critical Appraisal Tutorial Cross over designs Critical Appraisal Considerations D Decision Aid Menopause Decision Aids Various Topics Debridement Lavage For Osteoarthritis of the Knee Deep Vein Thrombosis DVT Clinical Guideline Definitions

    Original URL path: http://www.delfini.org/index_Resources.htm (2016-02-01)
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  • Evidence Based Health Care: Delfini Testimonials
    apply Cigna is advocate of evidenced based medicine and now I have more tools and strategies to access the evidence and shape practice of others The Regence Group wonderful program been to many of your programs and continue to learn be inspired and stretch already incorporating the information as well as your tools into our processes After Two Days Following A Delfini Training Retreat Dr Stuart and Sheri I wanted to thank you both for the wonderful program you put together I ve heard all the same things echoed by the staff that were noted in the evaluations For myself I think I ve been to more than six of your programs and I continue to be inspired and stretched each time We are already incorporating the information you provided as wells as your tools into our processes We look forward to working with you again and further improving our processes with your knowledge and tools Again thanks for everything and have a great summer Helen Sherman R Ph Pharm D Senior Director Chief Pharmacy Officer Pharmacy Services The Regence Group Portland OR I have seen your program 3 times make that 4 times and I learn something new ok a lot new every time I really appreciate the way you constantly update your material to be relevant I would sit through a day of your seminar once or twice a year Program Attendee Dear Delfini Mike Sheri Thank you for a wonderful two day course on evidence based medicine tools and applications In an era of high tech high cost medical technology and medications Regence has made evidence based medicine the core of its business model and guiding principle in making healthcare decisions Delfini has been both the inspiration and support in helping us build and evolve this foundation with their guidance teachings and EBM tools for ready application in critically appraising the literature I want to complement Delfini on an outstanding presentation and the ability and flexibility to adapt and structure the presentation for a multi disciplinary staff of healthcare professionals medical directors nurses pharmacists students such that all benefit I have attended several of your presentations and each time I attend there is always something new to learn or additional pearls of knowledge to add to my EBM tool kit My staff has told me the same As always we appreciate your time in working closely with us and customizing presentations to help meet the needs of our audience Nobody does it better than Delfini Warmest regards Lynn Lynn Nishida R Ph Director Clinical Pharmacy Services Testimonials Key Programs State of Washington Department of Social and Health Services DSHS chose Delfini to train their staff and clinicians who conduct medical necessity and other reviews Other state employees involved with improving Washington State s plan for improving health care such as from the Health Care Authority were also invited Testimonial below Mike and Sheri I just wanted to thank you once again for the great job you did today teaching our staff EBM assessment for validity and usefulness You were inspiring to our staff I just loved to see how attentive they were and to hear the great questions that were asked They were getting your messages Fantastic People are raving about your training I just heard how professional that it was that HRSA and the other agencies were presented in style and the staff really appreciated that I believe they recognized that we brought the very best to them showing that we value EBM and their work in this area Again thanks so much It was such a pleasure to work with you to make this day so special for our staff Siri Siri Childs Pharm D Pharmacy Policy Office Chief Department of Social Health Services Health Recovery Services Administration Division of Medical Benefits Care Management Medical Consulting Pharmacy Policy Units State of Washington McKesson InterQual Two thumbs up for Delfini The recent EBM refresher and advanced EBM training they provided to over 40 McKesson content development clinicians received great reviews from our whole team The refresher reinforced the expertise we have developed in applying the principles of critical appraisal to our clinical content development since we first started working with Delfini four years ago Sheri and Mike s ability to explain complex concepts in an easy to understand and conversational manner produced multiple aha moments for our team Warm thoughts and wishes Kate Kate Flanagan Helmes Director Clinical Development InterQual Products MD Anderson Cancer Center Clinical Safety Effectiveness Educational Program Accurate information is important in making decisions especially for clinicians who want to give their best to patients Delfini Group educates clinicians and provides tools for them to identify the strength of the available evidence For over a year the Delfini Group has been teaching at the University of Texas M D Anderson Cancer Center Participants state how important this class is in caring for patients and conducting research Delfini Group is able to explain the value and use of evidence based medicine in everyday practice Margaret Holm R N M H S A F A C H E Executive Director Clinical Quality M D Anderson Cancer Center HealthWise Sheri it was a great day You and Mike are so good Thanks Steve Steve Schneider MD Chief Medical Officer I ve heard nothing but good stuff about the day You two are great Never enjoyed statistics so much I learned a lot so I m sure everyone else did too We will stay in touch and have more work for you in the coming months and years Martin Gabica MD Medical Director Thank you Sheri It was great to meet both of you and I thoroughly enjoyed the day You are both engaging and intelligent presenters and you are impressively knowledgeable and experienced in the complexities of EBM and critical appraisal Liisa Rogers Research Library Manager Thanks to you both That was just a terrific presentation and all the talk of the word nerds we writerly content types throughout the day Friday Roya Camp Director of Content Development Webinar on Evidence based Medicine I just wanted to extend to both you and Sheri my thanks for an outstanding presentation during your two day teleconference this past Thursday and Friday Having attended a large number of alleged EBM and QM conferences during the past several decades I can honestly and safely say that yours has thus far provided me with the most optimal mix of cogency interest practical applicability and presenter expertise Thanks again for a fantastic set of sessions last week Sincerely yours Attilio V Granata MD MBA FACP Associate Clinical Professor of Medicine Yale University Hi Sheri I wanted to send you my e mail I was just getting ready to review an article and thought of you The meeting last week with Wellpoint was great The program is especially good the second time around I learned a lot more and clarified a number of issues that were hazy I really appreciate the focus on the importance judgment plays in the use of EBM I have been in situations where some have tried to make the decisions based on NNT alone it was uncomfortable and not in the best interest of anyone not to mention not a good decision I am getting better and more confident in using the processes you have outlined These skills have been a great accomplishment for me this year and have really helped improve my value to my clients Thanks Jane O Neill Clinical Pharmacy Manager Organization held in confidence pharmacy management company Understanding Medical Literature and Communicating Effectiveness to Physicians 4 8 Omnicare Educational Program Hartford CT November 10 2004 Hi guys I just wanted to thank you again for the Critical Evaluation of Literature program The staff really liked the program I have received numerous calls stating that it was the best program we did all year and wish we had this years ago to one consultant that wanted to know if it was going to be presented again in New England because he wanted to attend again This kind of unsolicited praise is ground breaking up here Anyway I thought you might want to know that it was a great big hit in MA and we really appreciated it Cliff Kibbe Director of Consulting Omnicare Pharmacies of MA Understanding Medical Literature and Communicating Effectiveness to Physicians 4 8 Omnicare Educational Program Hartford CT November 9 2004 Sheri it was a great program I have heard numerous compliments on the program from the consultants since we had the program Many consultants along with myself are eager to put our newly learned skills on critiquing a study to good use Paul R Belcher R PH FASCP Director of Clinical Services Omnicare Pharmacy of Connecticut This was an extremely helpful educational program It brought me back to the importance of practicing evidence based medicine a thing that I was taught in Pharmacy School many years ago Thank you for this beautifully summarized approach to reviewing medical literature I wish you could sell this to schools of pharmacy as a real world useful way to apply what the semester long courses cover Omnicare Program Participant Hartford CT Tripler Army Medical Center Understanding Medical Literature Searching Quality Sources and Help for P T Committees October 13 14 2004 Honolulu HI Scores 5 0 out of 5 0 and including comments like this one First let me say once again just how thoroughly I enjoyed your recent presentation Understanding Medical Literature and Searching Quality Sources given here at Tripler Army Medical Center over the last 2 days I have been in practice for 36 years have been involved with various journal clubs most of that time am a member of our formulary review process and pride myself of attempting to sort our research on a continuing basis Having said that I can t tell you just how to the point and appropriate your presentation is to my practice I personally feel that anyone remotely connected to medicine and the scientific literature associated with it should experience your segment on understanding medical literature Immediately upon leaving today s session I spoke with leadership for our residency program here in Family Practice Clinic Our discussion centered around the importance of providers to be able to sort out the validity and significance of a great deal of research and the application of that information to their individual practices In short he was very interested in pursuing the possibility of having you present to our clinic A future Core Curriculum topic focuses on research so the timing might be exquisite I feel that our residents and staff would benefit immensely from your training tools Again sincere thanks for a very informative and eye opening session Norm Name confidential TRIPLER Army Medical Center HI 96859 Omni Group St John s Medical Center Evidence based Medicine Essentials Tulsa OK A wonderful success Overall faculty and program scores 5 0 out of 5 0 Best EBM stuff I ve seen I ve got to find the time to put it all to use and to maintain my new EBM skill set Thanks for a fine conference I think it will results in healthier patients One of the best CME programs I ve been to in a long time I stayed awake even through the slides I learned a lot Thanks See you in the spring for the advanced course The course was simply stated fantastic a real eye opener and I appreciated the zest with which it was presented Donald F Johnson MD OMNI Medical Group I had been planning to send you a thank you for such a fantastic seminar Your mastery of the Socratic method in engaging your audience was most effective in delivering what could otherwise have been the seminar equivalent of a sleeping pill Your delightful demeanor made the whole experience that much more enjoyable I now look forward to dissecting the medical literature I have a son who is pre med at Wabash College in Indiana where they specialize in driving home the skills of critical thinking I gave him a brief rundown of the seminar and he to was fascinated I look forward to sharing this information with him in depth even before he reaches medical school How empowering this information could be before the onslaught of med school A sincere thank you to you Curt Coggins OMNI Sand Springs From our American Academy of Performance Measures Program September 10 12 2004 Performance Measures A Practical Approach to Improving the Quality of Clinical Care From the Director I wanted to let you both know how much I appreciated your willingness to adapt the program to our specific needs When you do something new you always wonder how it will be received by the attendees This program exceeded our high expectations The family physicians who attended were interested and engaged throughout the two and one half day program and I am sure the tools you shared will find good use in the near future for many of them Thank you for devoting your energy and your professionalism to our project Bruce Bagley M D Medical Director for Quality Improvement American Academy of Family Physicians From attendees Thanks Steep learning curve but well conducted and valuable You re a great speaker and I ve been around the block many times Frank Dornfest M B Ch B M F G P S A FAAFP Associate Professor Oregon Health and Sciences University Medical Director and Associate Residency Director OHSU Gabriel Park Family Health Center Oregon Health Science University The program that Mike Sheri put on was INCREDIBLY WELL DONE and the crowd they invited to this AAFP Performance Measures conference was of such high caliber intellect and rich experience it was hard not to be enticed into some good brain waves and excitement about what the Academy is after and what quality improvement efforts are possible I hope to translate some of this content into a practical and enticing November Practice Management conference for the residents now how s that for a challenge Caroline Day MD Division of Family Medicine Director Quality Staff Physician UCSD Sheri and Mike thanks once again for all your hard work and wonderful illumination this past weekend I am confident that your course will be of great benefit in my career endeavors as a matter of fact I am one of the ones nominated to work on the AMA s new consortium Because of this I wanted to be sure that I could have access to all of your tools and resources on the web site Please remember to send me us the password for entry Rick Leary MD Assistant Director of the St Mary of Nazareth Family Practice Residency Program President elect of the IL Academy of Family Physicians Just wanted to send you both my personal thanks for some of the best education I ve received in my 25 years in medicine Alison Lauber MD Associate Program Director Columbus Regional Health System Family Practice Residency Program World Research Group August 20 2004 5 0 of 5 0 Possible Score Conference Evidence based Medicine for Health Plans Capitalizing on Evidence to Ensure Medically Appropriate Cost Effective Care Workshop Leaders How to Systematically Apply Best Evidence to Clinical Quality Improvement Efforts One of the best seminars I ve attended Exceptional clear organized and usable Simplified complex information This was by far the very best and useful presentation of the conference Knowledgeable presenters comfortable Both presenters were great and able to show how information could be used on a day to day basis Sheri is really dynamic Great workshop a lot of info condensed into short time frame Testimonials More Testimonials About Delfini Harold Wittcoff MD Chief Quality Risk Management KP Atlanta Georgia wasn t boring was excellent and of use I learned a great deal that will help me in my job Hi Mike I thought the subject was going to be boring and not much use I was very wrong The conference was excellent and I learned a great deal of new information that will help me in assessing the literature in my job I cannot thank you and Sheri enough Megan McIntyre PharmD Pharmacy Resident Virginia Mason Seattle WA best presentation of EBM ever experienced I feel more confident in my abilities your passion and commitment is evident and contagious What an honor it was to attend your evening meeting on Evidence Based Medicine It was the best discussion presentation of EBM I have experienced I feel more confident in my ability to procure and apply my clinical knowledge to improve patient outcomes and overall healthcare system quality In the future I would love to be more involved with Delfini and also hope to attend a seminar or more intense workshop Your passion and commitment to EBM is very evident and contagious Thanks again Megan McIntyre David Holloway MD Senior Vice President Chief Quality Officer Parkview Health Fort Wayne IN outstanding evidence review and synthesis extremely thorough well organized highly useful superb Mike I want to thank you for the outstanding evidence review and synthesis Delfini did for our medical group on ACE inhibitors and angiotensin II receptor blockers ARBs in heart failure When I presented the synthesis to our cardiologists they enthusiastically complimented Delfini They uniformly felt the synthesis was extremely thorough well organized and highly useful evidence based information Another example of Delfini s superb work I can t thank you enough for helping us navigate a challenging area Kirsten Searfus MD Pre doctorate Program Director UCSD Family Medicine San Diego CA boundless enthusiasm for teaching and passion for evidence based approach is unparalleled Sheri I very much appreciate the incredible job you have done with the curriculum for 426 Your boundless enthusiasm for teaching and your passion for evidence based approach to care is unparalleled and will certainly lead to continued success Keeran Bahinipaty 4th Year Medical Student UCSD San Diego CA critical for our patients the CORRECT WAY to practice medicine very useful I have learned the importance of evidence based medicine Critical for our patients THE CORRECT WAY TO PRACTICE MEDICINE I spent some time on your Delfini website and found the resources very useful including your assessment tools and other web links I will definitely use it in the future Thanks Sheri Cristina F Gutierrez Banner Health tools are excellent great resource think I can start tackling my project wish I knew about Delfini sooner Thanks Sheri You ve been a great resource The tools on your website are excellent I think that I can start tackling my project after learning the ways in critiquing the studies I wish I knew about your company sooner Again thanks for all your help Joseph Gruber RPH CGP FASCP Regional Director of Clinical Services Omnicare Inc St Louis MO awesome program really helped wished we had more Sheri thanks you to and Michael for a great program I had many of my folks go out of their way to tell me this was an awesome program stuff they have not thought about before or didn t learn and really helped them as we make our clinical decisions Thanks for the tailored program we did have folks say they wish we had two whole days one to do business and one whole day on literature and MD communication THANKS again Joseph Peter J Keim MD Vice President Chief Medical Officer Gateway Health Plan Pittsburgh PA outstanding invaluable value in many take home actionables great Sheri I want to compliment you and Mike on the outstanding presentation at the program in Fort Lauderdale last weekend I found it invaluable I always measure the value of programs by the number of take home actionables It was great Thanks much Pete Keim George Alexis M S R Ph Clinical Pharmacy Manager Veterans Affairs Boston Healthcare System excellent very useful program quality content expert speakers custom tailored to meet our needs Dear Sheri and Mike I want to thank you personally and on behalf of all the participants for an excellent and very useful program The following day we had a scheduled meeting and I received many personal thanks for not only setting up the program but also the quality of the content and expertise of the speakers As I explained to them the thanks goes to Mike and you who were willing to take the time to work closely with me to custom tailor the program to meet our needs The Complete Evaluation Comments from the Regence Group Skamania 2004 Retreat Wonderful job I had a good time It was intellectually stimulating I have seen your program 3 times make that 4 times and I learn something new ok a lot new every time I really appreciate the way you constantly update your material to be relevant I would sit through a day of your seminar once or twice a year Outstanding enthusiasm and passion for what you do much appreciated Thank you very much for the presentation Very informative and enjoyable Excellent presentation It was great to have such enthusiastic speakers I really learned a lot and also learned that I need to learn a lot more I learn a lot by example so appreciate the opportunities to work through some case presentations It helps solidify the point being presented Thank you Exceptional job well executed I thought the information was very helpful Great job Thanks Shanna Patterson 4th Year Medical Student University of California San Diego really gratified know I will read papers this way in the future great outlines and tools What was my key learning Really I was shocked at how bad reviews can be especially since I see them used like little Bibles in the hospital all the time Also obviously I felt really gratified at being able to critically evaluate a couple reviews and I know I will continue to read papers this way in the future Particularly now that I have these great outlines and tools Name confidential Moody AFB Valdosta GA delighted with your seminar most physicians lack EBM knowledge very pleased we are now part of a select few critical to the practice of high quality cost effective medicine I want to tell you how delighted I was by your seminar As you noted most physicians don t have even a rudimentary knowledge of evidence based medicine I am very pleased that the providers at Moody AFB are now part of the select few This information is critical to the practice of high quality cost effective medicine Joyce Gilbert MPH Evidence Consultant Care Management Institute impressive terrific conference impressive tools valuable fun memorable made hard stuff easy to understand Aloha Sheri I just wanted to drop a line and thank you for a terrific conference and for the work that you and Mike do Your tools are impressive and I now have a binderful to add to my toolkit Your website was so entertaining that I almost didn t make it to the downloadable tools Thanks for presenting this valuable information in a fun and memorable way You made hard stuff easier to understand One unanticipated learning for me as a research author was the need to know how to write a paper that can stand up to critical appraisal in spite of design flaws You helped me recognize that there s still value in writing the paper Thanks for your guidance and encouragement If you develop a course around presentation of research results that stand up to critical appraisal please let me know Mahalo Joyce Wayne M Flicker MD PhD Chair Pharmacy and Therapeutics Committee HealthCare Partners Medical Group Los Angeles CA excellent an accomplished speaker and first rate teacher complex concepts explained in comprehensible terms hands on highly relevant to a clinician or pharmacist should be required for all who study the health sciences Sheri s 5 hour course on evidence based medicine was excellent Not only an accomplished speaker who kept her audience interested and attentive she s a first rate teacher who knows how to explain complex concepts in comprehensible terms The course was hands on and practical highly relevant to a clinician or pharmacist Sheri wasted no time in demonstrating to us how easily we can be misled by seemingly convincing but incomplete or biased data This material should be required for all who study the health sciences I know it has helped sharpen my critical and analytical skills regarding the medical literature I hope to learn more Shelly Tanner 4th Year Medical Student UCSD San Diego CA career changing life changing a pleasure outstanding tools Sheri thank you again so much for your time and assistance It is enormously helpful certainly likely career changing and for my patients to be potentially life changing And it is a great pleasure to learn from you I feel so much more comfortable searching for and critically reading studies now and using your outstanding study validity tool Sara Thompson MD Residency Program Group Health Cooperative Seattle raved about you interest quality you make EBM fun and alive Mike everyone once again raved about you and journal club that afternoon was definitely up a notch or two in interest and quality You make the whole concept of Evidence Based Medicine fun and alive Name confidential USAF Keesler AFB going to put the concepts to use starting this evening Thanks again for a great program I look forward to accessing the tools you mentioned Going to put the concepts to use starting this evening Others should really enjoy your presentation Best regards Mii Hawkins UCSD Medical Student great learning experience Thanks for the great learning experience and the tools to apply to treatment recommendations that we will come across during our career Name confidential Clinical Pharmacist Brooke Army Medical Center Wilford Hall USAF Medical Center Program Participant stellar presentation great seminars such as yours make the learning that much easier tools will be a tremendous asset we don t run across great programs like yours very often I can t imagine anyone who couldn t benefit I was a participant at yesterday s seminar provided for pharmacy and medical staff from Brooke Army Medical Center and Wilford Hall USAF Medical Center I want to take this opportunity to thank you and Dr Stuart for the stellar presentation It s amazing how much there is to learn about EBM and great seminars such as yours make the learning that much easier As instructed at the seminar I am requesting the tools that you and Dr Stuart mentioned in your presentation These will be a tremendous asset for our institution as we make EBM the focus of our formulary decision making process and hopefully the focus of healthcare for our beneficiaries We don t run across great programs like yours very often so I would be honored and pleased to provide support in any way possible Please keep up the fantastic work I can t imagine anyone in the healthcare arena who couldn t benefit from the information you and Dr Stuart have to offer Thank you again and Happy Holidays Jennifer Johnson Medical Writer McKesson Broomfield CO appreciate the training treature greater perspective and giving consumers honest information I can t tell you how much I appreciate the Delfini training and the perspective it s given me as a health writer As I go through the process of updating topics I cringe at the claims I used to make based on lousy data My language is much more precise and honest as to quality and type of evidence I use simple tables to show risk Thank you so much You made my job harder but I treasure the greater perspective and mission of giving consumers honest information Myra Rae Page CME Office University of Oklahoma huge success able to attract attendees all across US because of high quality speakers like you Dear Mike and Sheri just a short note to thank you for helping make the 7th Annual Primary Care 2004 Update Conference a huge success We have been able to attract attendees from all across the United States because of high quality speakers like you We want to let you know how much we appreciate and thank you for all the time and effort you invested in preparing and presenting at our conference Once again thank you Sharon B Dybicz Pharm D CGP Director Clinical Development Geriatrics Clinical Pharmacist Omnicare Senior Health Outcomes King of Prussia Pennsylvania fantastic website work inspiring Happy New Year Sheri The website is fantastic Your work is inspiring Miles Bennett 4th Year Medical Student UCSD School of Medicine San Diego CA important and well taught Thank you so much I enjoyed the class too I m glad to see that something so important is being well taught Thanks again I will definitely use the Delfini resources whenever I appraise scientific studies Caroline Day MD Division of Family Medicine Staff Physician UCSD Assistant Clinical Professor WOS UCSF succinct most clear excellent amazingly practical and useful tools Sheri Thank you very much Your presentation is most succinct and clear one of the most clear I have experienced It has excellent content and offers amazingly practical and useful tools Kudos for your effort and excellence Maura McCaffrey RPh MBA Manager of Pharmacy Services Health New England fabulous useful appreciate your enthusiasm and commitment Dear Sheri thank you for the fabulous lecture on medical literature I heard many accolades from my fellow employees Especially our nurse care managers they found the program to be very useful to their everyday work Thank you for your enthusiasm and commitment to the validity and results of research Sincerely Maura Wiley V Chan MD Director Guidelines Evidence based Medicine Physician Internal Medicine Northwest Permanente Portland OR wonderful conference clear presentations great examples practical tools Sheri Mike thanks again for your wonderful conference Your clear presentations great examples practical tools make a sometimes difficult process seem so transparent I know a couple hundred people who have got to hear your message Alan Miller RPh MS Director of Clinical Services Omnicare Colorado far superior tools Sheri thanks for a very professional and useful inservice in Phoenix yesterday Your checklist for evaluating medical literature is far superior to the abbreviated list I have used in the past James R Dickens Pharm D Consultant Pharmacist American Pharmaceutical Services An Omnicare Company probably the most valuable presentation I have attended as a pharmacist Sheri I was at the Omnicare meeting in Orlando last week and I thoroughly enjoyed your and Mike s program It was probably the most valuable presentation that I have attended as a pharmacist I have been looking through your website on and off during the last week and would be interested in obtaining the password you mentioned Also I teach a course for the University of Florida College of Pharmacy campus here in Orlando and I think that my students would benefit from your checklist on how to do a study evaluation Would it be possible for me to make copies of the checklist only available to them I have already started referring them to your website Thanks again for a great presentation Regards Bahram Khadivi 4th Year Medical Student University of California San Diego information was very practical I saw plenty of ways to utilize the skills including the Delfini website Hi Sheri thanks for the email and the helpful attachment It was a pleasure having you as our workshop leader The information presented was very practical and I saw plenty of ways that I could utilize those skills in the future including those found on your website Thank you Best wishes for continued success with your website service Most sincerely Bahram Ellen Espiau Science Writer Researcher PacifiCare Health Systems Cypress CA invaluable deeply enjoyed no nonsense and voice of reason Hi Sheri I attended the Reading the Medical Literature seminar you held for PacifiCare employees last week and I wanted to take this opportunity to sincerely thank you for your presentation The information you provided is going to be invaluable to me and I deeply enjoyed your no nonsense approach to the whole thing Thanks for providing a voice of reason At the same time I would like to ask you to send me the required password for some additional tools that can be downloaded from the Delfini website I am very much looking forward to trying them out feel free to use my email as a testimonial for your classes I would love to help you and Mike spread the word Thanks again and all the best wishes Ellen John Theodore Pharm D Manager of Pharmacy Operations Lowell General Hospital Lowell MA your lecture was one of the high points look forward to using the information in practice Good Morning Sheri I attended the lecture you gave at URI s Seminar By The Sea last week and would like to receive the information on the assessment validity of sytematic reviews that you spoke about Your lecture was one of the high points of the seminar and I look forward to using the information in my practice Thank you for helping clear up a confusing topic John Donovan Pharmacy Operations Manager VA Boston Healthcare System great means to review data will be able to direct my staff better Sheri good morning from Boston Your and Mike s program certainly has added great means to review data As the Operations Manager I will be able to direct my staff to better review and make decisions on articles Thanks Rosa Sanchez Pharm D Retrospective Drug Utilization Review Clinical Pharmacist Walgreen s Health Initiatives Deerfield IL great program especially enjoyed information and decision aids help us better communicate with patients I just want to thank you again for the great program you presented last week in Ft Lauderdale The information presented will be very helpful I especially enjoyed the portion on Information and Decision Aids The information provided will help us better communicate patient related clinical information to maximize our retrospective drug utilization review interventions Karline Roberts MA CPHQ Director Healthcare Quality Improvement BlueShield of Northeastern New York Latham NY loved your program learned a lot could keep learning with more Hi Sheri I was at the Ft Lauderdale conference I loved your program and learned a lot I think I could attend it several times and keep learning something new each time It was a lot to absorb in such a short time I came away with wishing we had a researcher on staff Now I know that we have not taken the time to properly research clinical guidelines That will change I just need 20 more hours in a day Anyway I d like to thank you and Mike for a great couple of days Jill D Bowman Evidence Based Methodologist Care Management Institute Oakland CA especially helpful tools wonderful workshop dynamic speakers easy for people to grasp Hi Sheri I was hoping to get access to the tools you presented at the EBM meeting in Hawaii via your website I think the Validity Tool could be especially helpful to my department in creating Clinical P ractice Guidelines I also wanted to commend you on a wonderful workshop You and Mike are dynamic speakers and you lay out the information so that it is easy for people to grasp I m glad I was able to participate Cecilia Gutierrez MD Assistant Clinical Professor and Associate Director Family Medicine Residency Program USCD San Diego CA clear dynamic clinically relevant outstanding Dear Sheri I wanted to tell you that your presentation was one of the best I heard it was clear dynamic clinically relevant and with good examples Often I worry that epidemiologists and biostats people give very dry convoluted presentations losing the audience with complex concepts and math analysis which are boring to us the clinicians Once

    Original URL path: http://www.delfini.org/delfiniTestimonials.htm (2016-02-01)
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  • Evidence Based Health Care: Delfini Testimonials
    hear your message Best one day educational program I ve experienced in 25 years Intermountain Health Care attendee Salt Lake City UT One of the best classes I have ever attended Thank you for bringing back some common sense Thanks so much Pacificare attendee Cypress CA Great program One of the best I ve ever attended Omnicare attendee Orlando FL See all Testimonials Best help with evidence based medicine available Marty Gabica MD Chief Medical Officer Healthwise Hello Sheri and Mike thanks for shouting out to the Washington State Health Technology Clinical Committee Along with the help of organizations like Delfini providing us with superb evidence reviews we are showing a way that the US should follow in my opinion I appreciate your linking your contacts to our work Best Wishes Brian Brian R Budenholzer MD FAAFP Health Technology Clinical Committee Chair Health Care Authority State of Washington Mike and Sheri I just wanted to thank you once again for the great job you did today teaching our staff EBM assessment for validity and usefulness You were inspiring to our staff I just loved to see how attentive they were and to hear the great questions that were asked They were getting your messages Fantastic People are raving about your training I just heard how professional that it was that HRSA and the other agencies were presented in style and the staff really appreciated that I believe they recognized that we brought the very best to them showing that we value EBM and their work in this area Again thanks so much It was such a pleasure to work with you to make this day so special for our staff Siri Siri Childs Pharm D Pharmacy Policy Office Chief Department of Social Health Services Health Recovery Services Administration Division of

    Original URL path: http://www.delfini.org/index_Testimonials.htm (2016-02-01)
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  • Delfini Group LLC Notices
    of this work is no longer being updated For example the information in the messaging scripts should be used only to understand a method for developing evidence based decision support messaging scripts for various target groups not for informing clinical decisions Again it is the responsibility of the user to verify and update any 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 Privacy Policies Definitions Anything you share with us through any means will be defined as user provided information Contact information Provided For Our Mailing List Our intent is to use contact information that you provide to us via our mailing list opt in form to provide you with information and notices or to directly contact to you if we are seeking information from you It will not be provided to any third party for use for mailing list sales User provided Information Including Comments Testimonials Et Cetera When you choose to comment directly on our site or provide other information to us through that channel or through other means that action constitutes explicit agreement that we can retain or remove that information and we can freely use it such as promotionally including such information as your name if you so provide it We will not be legally bound to rescinding our rights of use but if you change your mind upon our receipt of your written communication to us which includes email we want to honor that to the extent that we easily and reasonably can It s not our intention to make you unhappy But reasonably and easily does not extend to any past distribution or distribution not within our direct control for example If we ve already printed materials it does not extend to not distributing those materials etc It would include removing information on our website as we can not including such information in future materials emails etc Software Notices including Adobe Security Risk Some of the offerings on our website involve the use of software for which you need special readers Acrobat Reader 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 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

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  • Evidence Based Health Care: Delfini Sample Projects
    Blue Cross Idaho EBM Training Initiative McKesson Employers Program Evidence Message Scripts Gerd Gord and Radio Ablation High Blood Pressure Management Hypertension HTN Management Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults A Qualitative Systematic Review and Critical Appraisal of the Evidence Kaiser Permanente Hawaii Guideline CKD Kaiser Permanente Guideline VTE Kaiser Permanente Healthcare Performance Improvement Hypertension HTN Kidney Disease Guideline Lavage or OA Knee Messaging Scripts MRI in Women at High Risk of Breast Cancer OA Knee OMNI Employers Program Qualitative Systematic Review OA Knee Qualitative Systematic Review MRI Breast High Risk Women Safety Review Biologics Spine Care Text Book for Critical Appraisal of Clinical Trials Tulsa Employers Program Venous Thromboembolism Guideline Washington State Technology Assessment OA Knee Washington State Technology Assessment MRI Breast High Risk Women Delfini Quality Improvement Initiatives Case Studies Basics For Evaluating Medical Research Studies A Simplified Approach And Why Your Patients Need You To Know This Delfini Group Evidence based Practice Series Short How to Guide Book Best help with evidence based medicine available Marty Gabica MD Chief Medical Officer Healthwise This book is about how to evaluate the reliability and clinical usefulness of clinical trials Written for physicians and other health care professionals this book is written in easy to understand terms that even the layperson can understand and put to use Delfini Evidence based Practice Short How to Guide Book now available for purchase Messaging Scripts are scripts for scripts Messaging scripts are targeted treatment messaging decision support tools for specific clinical topics This tool and accompanying template can help you construct your own This tool can also be used in conjunction with the Delfini Patient Information Decision Aid Tool for greater depth of script or aid development To Evidence Messaging Scripts Page Safety Review FULL PDF Safety Review SHORT PDF Safety Review FULL ZIP Safety Review SHORT ZIP Systematic Review Comparative Safety of Five Biologic Agents For The Treatment of Rheumatoid Arthritis Psoriasis and Psoriatic Arthritis Client Amgen Inc with full control by Delfini Medical Technology Assessment Work Qualitative Systematic Reviews for Washington State Health Care Authority Client Oregon Health Science University for State of Washington Arthroscopic Lavage Debridement for OA Knee Breast MRI in High Risk Women American Diabetes Association Poster Presentation Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults A Qualitative Systematic Review and Critical Appraisal of the Evidence Rattan Juneja MD 1 Michael E Stuart MD 2 3 Sheri A Strite 3 Indiana University Medical School of Medicine Indianapolis Indiana 1 University of Washington Seattle Washington 2 Delfini Group LLC Seattle Washington 3 Qualitative Systematic Review Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults In partnership with Dr Rattan Juneja Indiana Univesity School of Medicine Clarian Health Indianapolis Indiana PDF of Poster Contents Readable PDF of Original Poster small text PowerPoint of Original Poster Protocol Improvement of gastroesophageal reflux symptoms after radiofrequency energy a randomized sham controlled trial Corley DA Katz P Wo JM Stefan A

    Original URL path: http://www.delfini.org/index_DelfiniShowcase.htm (2016-02-01)
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  • Evidence Based Health Care: Delfini About Us
    of a certificate program on healthcare quality for many years Prior to co founding Delfini he was the director of the Department of Clinical Improvement and Education at Group Health Cooperative in Seattle Washington 1984 2002 where he led development of more than 35 evidence based clinical guidelines and other clinical improvements His clinical guideline work has received praise from prominent health care leaders such as David Eddy MD and Don Berwick MD and clients such as the Health Ministry of New Zealand and the US Navy s Bureau of Medicine He also chaired both the Group Health Pharmacy Therapeutics and Medical Technology Assessment Committees Full Bio for Michael E Stuart MD Sheri Strite is the co founder of Delfini the managing director of Delfini for which she initiated many health care improvement strategies tools and training programs and provides training She is the primary author of the Delfini Evidence based Practice Series Prior to her work with Delfini Ms Strite was with the University of California San Diego School of Medicine where she taught faculty community physicians residents and medical and pharmacy students She also served as a member of the UCSD Family Medicine Research Leaders and faculty for their Research Fellowship in the Department of Family Preventive Medicine 2002 2005 Prior to UCSD Ms Strite worked in clinical improvement education and research at Group Health Cooperative in Seattle Washington 1977 2002 where she held various positions and leadership roles including research management and administration Full Bio for Sheri Ann Strite Notable Chosen by Oxford s CEBM Centre for Evidence Based Medicine as a quality evidence based resource site Qualis Health to assist along with the American Medical Association AMA in evaluating and recommending performance measures for Centers for Medicare and Medicaid Services CMS State of Washington Department of Health and Human Services DSHS to train their staff and clinicians who conduct medical necessity and other reviews including staff from the Health Care Authority McKesson for evidence based training launching their Evidence based Medicine Initiative and providing intensive training in critical appraisal Health plans as trainers of pharmacy therapeutics committee leaders and members medical policy leaders and staffers American Academy of Family Physicians AAFP to conduct their first ever national performance measures training which achieved a 5 0 out of 5 0 score American Academy of Neurology to provide tools and a basis for web based self learning modules MD Anderson Cancer Center as internal faculty for their Clinical Effectiveness Safety Program Kaiser Permanente groups for training in evidence based medicine and for facilitating guideline development and quality improvement projects Other Delfini s three part series on The Evidence based Organization opened the January 2005 edition of the American College of Physician Executive s The Physician Executive Journal of Medical Management Extensive experience with medical technology assessment and pharmacy and therapeutics P T committees and staff including the authoring of a chapter on formulary management for the textbook Evidence based Pharmacotherapy Stuart is a contributing author to the textbook

    Original URL path: http://www.delfini.org/index_AboutDelfini.htm (2016-02-01)
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  • Evidence Based Health Care Quality Help: Other Delfini Stuff & Nonsense
    of the sea and deity to sailors and symbolic of calm seas good omens and harbingers of fair weather Greek legends tell of dolphins rescuing shipwrecked sailors and aiding them to shore known for their intelligence their sociability and their special ability to communicate as well as their playfulness we love dolphins When we were searching for an image for our business and a name I asked Mike what he wanted us to do He responded I want to help people navigate out of chaos As people of the sea we looked to the sea for images that would represent what we wanted to be and what we wanted to do And thus Delfini was born Delfini We want to help people navigate out of chaos to help create goodness where we can Our guiding lights are to liberate illuminate simplify and inspire We are i delfini Delfini Group is a public service entrepreneurship founded to help solve the little known societal problem of medical misinformation which frequently results from lack of awareness and skills in the conduct and reporting of research and in evaluating scientific information Delfini is dedicated to helping individuals and organizations learn and apply the concepts methods processes skills and tools of evidence and value based clinical improvement to make practice change and achieve improved medical decision making outcomes and value CONTACT DELFINI Page Navigation DelfiniGram GET ON OUR UPDATE LIST EBM Humor Courtesy mostly of BMJ The Delfini Name Ancient History Fun Bios Delfini Text Book Delfini Evidence based Practice Short How to Guide Book now available for purchase And Sheri s Art Work www sheriannstrite com www sheriannstrite com art htm Like Us on Facebook Read Our Blog Menu Use of our website implies agreement to our Notices Citations for references available upon request

    Original URL path: http://www.delfini.org/index_OtherDelfini.htm (2016-02-01)
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