Research summary, original research, 2019

Utilization of a Radiation Safety Time-Out Reduces Radiation Exposure During Electrophysiology Procedures

Aizer A, Qiu JK, Cheng AV, Wu PB, Holmes DS, Wagner SR, et al.. JACC. Clinical electrophysiology. 2019

Read the original paper

In plain language

In one US electrophysiology lab, adding a radiation safety time-out was followed by a 21% lower median dose area product across 1,040 cases, plus more use of disposable shields. Staff dose itself was not reported directly.

At a glance

Type of study
Original research, Prospective cohort study
Who was studied
Electrophysiologists, Mixed lab staff, Patients
Size
n = 1,040 patient cases
Where
United States
Summary based on
the abstract

What it found

  • Median dose area product fell by 21% after the radiation safety time-out was introduced.

    Key figures: 18.7 Gy∙cm2 to 14.7 Gy∙cm2; 21% reduction (p = 0.007)

  • Median reference point dose decreased after the time-out.

    Key figures: 163 mGy to 122 mGy (p = 0.011)

  • Use of sterile disposable protective shields and ultrasound-guided access increased significantly with the time-out.

Limits to keep in mind

Single-center before-after comparison without a concurrent control, so secular trends may contribute. Outcomes are patient dose metrics; staff dose was not directly measured in the abstract.

How this summary was made

ORSIF prepared this summary with AI assistance from the abstract of the paper. A program then checked that the passage supporting each finding appears word for word in that source. A person has not yet reviewed each summary, so read the original before relying on a number. ORSIF summarizes research and does not endorse any product or company. Report a problem with this summary.

Prepared November 3, 2026.