Authors' reply

Abstract
EDITOR,--The aim of our study was to propose a method of reinforcing clinical guidelines. The outcome that was measured showed a significant change in referral patterns and supports the conclusion that carefully designed posters are effectve in reinforcing guidelines. Reductions of 75% for abdominal radiographs and 50% for skull radiographs were achieved. Data on the overall change in referral patterns (that is, for all four areas combined) were not presented as we regarded this statistic as meaningless. Several other possible reasons for the reduction in referral for radiography were considered, including the experience of the doctors and changes in staff. No other guidelines, …

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