TWO YEARS AUDIT OF THORACIC SURGERY DEPARTMENT AT PESHAWAR

Objective: The aim of the study was to audit all admissions for significant adverse events as well as to assess cardiac procedures were 161 (14.2%). Various procedures performed included, decortication 103 (9.1%), esophagectomy 73 (6.46%), Hydatid cystectomy 38 (3.36%), closed mitral volvotomy 51 (4.5%), PDA ligation 46 (4.07%), pericardectomy 17 (1.5%), lobectomy 59(5.22%), pneumonectomy 11 (0.97%), thoracoplasty 21 (1.85%), while other thoracic and cardiac procedures were 13.3% and 5.6% respectively. Overall mortality was 3% while morbidity was 3.4%. During this period our department had 17 publications; presented 22 papers in various conferences; has produced three fellows in thoracic surgery, one fellow in general surgery and conducted iFirst National Thoracic Surgery Coursei. One assistant professor and one senior registrar have been appointed during these two years. Conclusion: Highest priority should be accorded to surgical audit to determine various risk factors for mortality and morbidity and ultimately to improve patient care. Moreover, all academic and research projects should be completed through mutual efforts of all teaching staff to achieve desired standards of teaching and learning. Accountability of the medical profession can only be achieved through surgical audit. It is high time that this becomes a part of our ward routine and teaching programmes.