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J Clin Pathol 54:441-442 doi:10.1136/jcp.54.6.441

Evidence based diagnostic microbiology: has its time come?

Table 1

Comparison of outcome oriented and experience based practice in microbiology

Outcome oriented practice Experience based practice
Focus
• Rapid, simple methods • Conventional techniques
• Presumptive descriptive results • Complete investigation
• Clinically relevant reporting • “State of art” scientific reporting
• Better patient outcome at lower cost • Laboratory output
• Competitive service and utilisation control • Academic excellence
Concept
• “Duty of cure” • “Duty of care”
• Explicit, can be evaluated • Implicit, usually cannot be measured
• Relating to general rules or diagnostic pathways • Focused on a specific patient

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