Clinical audit is not a process that has been defined as “a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and implementation of change: Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Professor David Johnson defined audit as “a means of quality control for medical practice by which the profession regulates its activities with the intention of improving overall patient care” So when it comes to the field of medicine, becomes the means that represents the quality control of medical practice, in the surgical audit. In light of its philosophy, the audit has emerged and evolved to meet the needs and interests administrators to prepare sufficient resources for these important movements. It is difficult to maintain quality and apply it, so we must measure the differences in results. Good surgeon should never hide his defects but must gain knowledge from them in order to perform best for his patients and improve its practice. It also confirms the prevention and limitation of abuse and promotes patient care as a result. Clinical audits combined with feedback are a well-established quality improvement intervention, acceptable to practitioners and widely used in primary care. The term audit is usually associated with accounting and involves numerical review by an investigator for fraud prevention, but in a clinical setting, it is the collection of data for the purpose of establishing professional standards, evaluating clinical performance, and changing clinical practice2 . The evidence that quality assessment and quality assurance audits have improved medical practices is not much stronger than they have shown that the focus of auditing and the role of auditors are constantly changing and auditing appears to continually evolve6 . Ernest Hey Amory Codman introduced the clinical audit to the United States (1910)7. Many studies suggest that medical care evaluation studies have a marginal effect on the physician. A study on the previous development of clinical audit inspection is not available except in a few hospitals. It is not regular practice to manage surgical audits on a daily basis, therefore there is no adequate clinical data available that can be reviewed and analyzed in terms of morbidity, mortality and other clinical outcomes, in order to improve overall clinical practice2. This study will help to see the morbidity and mortality. This study will also provide planning and insight for future risk management from the current medical/surgical record. The aim of the study is to tell the analysis of all admitted cases and mortality in the surgical department of Bhurgri Matli Hospital. This audit was conducted at the General Surgery Department of Bhurgri Matli Hospital, from July 2014 to November 2017. The data of this study was collected from the computer software (hospital management software) and the proforma which contains the basic information of the patient, the statistical data, the mode of admission to the surgical department such as emergency room or outpatient department or referred from another clinic for management, i.e. operation or conservative treatment, the result of management, i.e. cured, referred or death. Details of hospitalizations were captured by computer software that records patient statistics and other details such as date and mode of hospitalization. The details of.