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The Delfini Showcase is a collection of evidence-based case studies, examples and samples of our work and of the efforts of our fine colleagues which which may be of help to others as resources, inspirations, contacts or ideas for improvements.

We give you examples for critical appraisal, clinical practice guidelines, systematic reviews, quality improvement projects, education initiatives and more.

Note: Not all items are up-to-date, but they represent a good example of our work plus a reminder that we have many other resources are available at Resources.

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Sample Projects Menu ........

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

  1. Arthroscopic Lavage & Debridement for OA Knee
  2. Biologics Safety Review
  3. Blood Pressure Management
  4. Breast MRI in High Risk Women
  5. Clinical Guideline: CKD
  6. Clincal Guideline: IBS
  7. Clinical Guideline: VTE
  8. Clinical Trial Evaluation Book
  9. Chronic Kidney Disease Guideline
  10. Continuing Medical Education and Pharmacist Education Conference Example of Past Work: Kaiser Permanente Hawaii Evidence-based Medicine Conference:
    The Essentials: "Talk Story; Talk Evidence TM"
  11. Critical Appraisal of Clinical Trials Book
  12. Critical Appraisal example: Gerd/Gord
  13. Critical Appraisal example: SREs
  14. Debridement for OA Knee
  15. DMARDS Safety Review
  16. EBM Training Initiative: Blue Cross Idaho
  17. EBM Training Initiative: McKesson
  18. Employers' Program
  19. Evidence Message Scripts
  20. Gerd/Gord and Radio Ablation
  21. High Blood Pressure Management
  22. Hypertension (HTN) Management
  23. Intensive Insulin Therapy for The Treatment of Hyperglycemia in Critically Ill Adults:
    A Qualitative Systematic Review and Critical Appraisal of the Evidence
  24. Kaiser Permanente Hawaii Guideline: CKD
  25. Kaiser Permanente Guideline: VTE
  26. Kaiser Permanente Healthcare Performance Improvement: Hypertension (HTN)
  27. Kidney Disease Guideline
  28. Lavage or OA Knee
  29. Messaging Scripts
  30. MRI in Women at High Risk of Breast Cancer
  31. OA Knee
  32. OMNI Employers' Program
  33. Qualitative Systematic Review: OA Knee
  34. Qualitative Systematic Review MRI Breast High Risk Women
  35. Safety Review: Biologics
  36. Spine Care
  37. Text Book for Critical Appraisal of Clinical Trials
  38. Tulsa Employers' Program
  39. Venous Thromboembolism Guideline
  40. Videos
  41. Washington State Technology Assessment (OA Knee)
  42. 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
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Delfini Group Publishing

"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.
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Delfini Videos

Video Thumbnail

We have videos available on the importance of critical appraisal, how to evaluate a study for validity and more.

To Delfini Videos
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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
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DMARDs_Safety_Report

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
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comparative effectiveness research


Medical Technology Assessment Work & Qualitative Systematic Reviews for Washington State Health Care Authority: Client Oregon Health & Science University for State of Washington

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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

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Improvement of gastroesophageal reflux symptoms after radiofrequency energy: a randomized, sham-controlled trial.
Corley DA, Katz P, Wo JM, Stefan A, Patti M, Rothstein R, Edmundowicz S, Kline M, Mason R, Wolfe MM. Gastroenterology. 2003 Sep;125(3):668-76. PMID 12949712

Review & Critique by Sheri A. Strite & Michael E. Stuart MD, Delfini Group
January 14, 2006

Critical Appraisal Example for radiofrequency for the treatment of gastro-esophageal reflux disease: full story; appraisal only
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KPHI_Delfini_VTEPrevention_Project_Banner

 

update September 09 Guideline & Quality Improvement Project Initiative — Deep Vein Thrombosis (DVT)/Venous Thromboembolism (VTE) Project: Client Kaiser Permanente Hawaii

 

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clinical practice guidelines update 03/2012  Guideline & Health Care Quality Improvement Project Initiative— Nephrology Chronic Kidney Disease Project & Clinical Guideline: Client Kaiser Permanente Hawaii
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EBM Blood Pressure Project Evidence-Based Medicine (EBM) Hypertension (HTN) Healthcare Quality Performance Improvement Project
Client Kaiser Permanente Hawaii
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Michael Stuart MD & Sheri Strite present poster at ISPOR 05/19/2015

05/19/2015: We presented our clinical outcomes studies poster, Comparing the efficacy of denosumab versus zoledronic acid (ZA) for prevention of skeletal-related events (SREs): a critical appraisal of three pivotal trials, at ISPOR (International Society For Pharmacoeconomics and Outcomes Research) 20th Annual International Meeting. You can access the abstract and poster here. Attrition does not necessarily result in attrition bias. Of particular interest to many critical appraisers will be this case study for ideas for approaching the evaluation of studies with a high degree of attrition.

Critical Appraisal Case Study: Comparing the efficacy of denosumab versus zoledronic acid (ZA) for prevention of skeletal-related events (SREs): a critical appraisal of three pivotal trials: This case study can help critical appraisers think about ideas for approaching the evaluation of studies with a high degree of attrition.
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clinical review EBM Training Initiative: Client McKesson (Interqual)
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medical education Quality Improvement Initiative Spinal Care: Client Blue Cross of Idaho
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clinical guidelines updated June 09   
Guideline: Irritable Bowel Syndrome Resource Center
including Clinical Practice Guideline
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EBM Conference Location Continuing Medical Education and Pharmacist Education Conference — Example of Past Work — we can put on a conference like this for you

Kaiser Permanente Hawaii Evidence-based Medicine Conference:
The Essentials: "Talk Story; Talk Evidence TM
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evidence based practice Self-funded Health Plan Program: Getting What You Pay For — The Employer’s Role in Health Care Quality & Value
 

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