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The British Journal of Radiology, Vol 70, Issue 838 1053-1055, Copyright © 1997 by British Institute of Radiology

ARTICLES

Hawthorne effect: shortening of fluoroscopy times during radiation measurement studies

T Vehmas
Department of Radiology, Helsinki University Central Hospital, Finland.

Screening times were recorded before (n = 92, 13 radiologists) and after (n = 75, 6 radiologists) commencing a protocol with dose-area product (DAP) measurements and filling of structured questionnaires. Fluoroscopy times were significantly (p = 0.0001) longer before starting these measurements (median 4.3, mean 5.2 min) than during them (median 3.2, mean 3.6 min), which indicates a Hawthorne effect. Fluoroscopy times did not increase during the DAP measurement period up to 21 barium enemas and a study period of up to 45 days per radiologist. Previous fluoroscopic radiation measurements based on action during an analysis period may be biased towards too short fluoroscopy times and too low doses. Radiation measurement, even if not scientifically indicated, seems a practical way of reducing doses.


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