فهرست نشریات علمی دسترسی آزاد ایران

Background: The significant growth in healthcare costs has caused policymakers and managers to seek ways to properly manage hospital revenues and costs. Therefore, awareness of various activities, their costs, whether these costs are necessary or unnecessary, and the prevention of unnecessary cases, or at least their reduction is necessary to improve hospital efficiency. Objectives: To systematically identify the factors influencing the provision of inappropriate services in emergency departments.   Methods: This study was conducted as a systematic review in 2024.The required data were collected by searching in PubMed, Scopus, Web of Knowledge, Embase, and Google Scholar search engine. The study was conducted without any time limit. Manual searches of relevant journals and examination of reference lists of the final articles were also conducted. PRISMA reporting guidelines were followed.   Results: 13 studies were included in the review. Based on the analysis of information obtained from the articles, the highest number of inappropriate services provided in the emergency department pertains to imaging services (radiography, CT scans, angiography), accounting for 46% of inappropriate services. Antibiotic prescriptions, with 38%, are identified as the second most common inappropriate service. The factors influencing the provision of inappropriate services in the emergency department were divided into three categories: those related to the service provider, the service receiver, and environmental and contextual condition.   Conclusion: Identifying the necessary services and commensurate with the real needs of the patients in emergency departments a challenging matter. In addition to this, investigating the root causes and developing practical guidelines that reduce the waste of resources and at the same time keep the quality and safety of the services provided to the patients should be considered.