title: Effect of fluoroscopy utilization monitoring on fluoroscopy times during ERCP.
abstract: OBJECTIVE
  The aim of the present study was to find whether informing endoscopists that their FT is being tracked would result in decreasing their overall fluoroscopy utilization as measured by FT.
  
  
  METHODS
  We reviewed the medical charts of patients underwent ERCP from April 2011 to May 2012. On December 15, 2011, the endoscopists were informed about their mean FT during ERCP, were encouraged to decrease FT and were informed their FT would be monitored. We compared the mean FT of the endoscopists individually and as a group before and after December 15, 2011.
  
  
  RESULTS
  The study included 293 patients and 3 endoscopists. Before informing the endoscopists that their FT was being tracked, utilization of fluoroscopy was significantly variable among endoscopists. The mean FT for all endoscopists was 9.04 minutes and for each endoscopist was 6.06, 11.43, and 7.67 minutes, respectively (P<0.02). After informing the endoscopists that their FT will be followed, there was a trend toward a decrease in FT among the group (9.04 vs. 7.4 minutes, P=0.06). However, the changes in FT among endoscopists individually were variable. The FT for first, second and third endoscopists changed from 6.06 min to 3.39 min, p<0.02, 11,43 min to 8.8 min, P=0.14 and 7.67 to 11.47 minutes, P=0.06, respectively.
  
  
  CONCLUSIONS
  Fluoroscopic utilization during ERCP among endoscopists is variable. Endoscopists' knowledge that their FT during ERCP is being tracked leads to variable results among endoscopists. Nonetheless, overall it leads to a trend in reducing fluoroscopy utilization.
authors.affiliation: Division of Gastroenterology, Cancer Treatment Centers of America, Tulsa, OK, USA - khatibamer@yahoo.com.
authors.forename: A A
authors.initials: AA
authors.lastname: Alkhatib
authors.forename: M E
authors.initials: ME
authors.lastname: Harrison
authors.forename: R
authors.initials: R
authors.lastname: Pannala
authors.forename: D
authors.initials: D
authors.lastname: O'Faigel
mesh_terms: D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D005471:Fluoroscopy / Q000706:statistics & numerical data*; D006801:Humans; D007432:Intraoperative Period; D010818:Practice Patterns, Physicians'; D012189:Retrospective Studies