What harms and what hinders de-implementation of low-value care in emergency medicine practice ? A scoping review

Low-value care can harm patients and healthcare systems. Despite a decade of global endeavours, low-value care has persisted. Identification of barriers and enablers is essential for effective de-implementation of low-value care. This scoping review is an evidence summary of barriers, enablers and features of effective interventions for de-implementation of low-value care in emergency medicine practice worldwide. Methods Data was collected from 167 eligible studies by two independent data collectors who also analysed the data.