Which strategy would negatively impact dose area product (DAP) in radiography?

Increasing the number of repeat examinations to ensure image clarity is likely to negatively impact dose area product (DAP) because DAP is a measurement that represents the total amount of radiation used during a radiographic procedure, which is dependent on both the dose and the area irradiated. Each time an examination is repeated, additional radiation is delivered to the patient, increasing the overall dose. This practice contradicts the goal of minimizing radiation exposure, as it accumulates dose with every repeat.

In contrast, using strategies like grids to improve image contrast, applying the ALARA (As Low As Reasonably Achievable) principle in selecting exposure parameters, and employing digital radiography systems are all methods aimed at optimizing image quality while minimizing radiation dose. Grids enhance image quality, the ALARA principle helps in choosing the lowest effective dose for sufficient image quality, and digital systems are designed to be more efficient, often resulting in reduced DAP compared to traditional methods.