T. Vehmas, HAWTHORNE EFFECT - SHORTENING OF FLUOROSCOPY TIMES DURING RADIATION MEASUREMENT STUDIES, British journal of radiology, 70(838), 1997, pp. 1053-1055
Screening times were recorded before (n = 92, 13 radiologists) and aft
er (n = 75, 6 radiologists) commencing a protocol with dose-area produ
ct (DAP) measurements and filling of structured questionnaires. Fluoro
scopy times were significantly (p = 0.0001) longer before starting the
se measurements (median 4.3, mean 5.2 min) than during them (median 3.
2, mean 3.6 min), which indicates a Hawthorne effect. Fluoroscopy time
s did not increase during the DAP measurement period up to 21 barium e
nemas and a study period of up to 45 days per radiologist. Previous fl
uoroscopic radiation measurements based on action during an analysis p
eriod may be biased towards too short fluoroscopy times and too low do
ses. Radiation measurement, even if not scientifically indicated, seem
s a practical way of reducing doses.