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The POSSUM System of Surgical Audit
Graham Paul Copeland, ChM
Arch Surg. 2002;137:15-19.
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Surgical audit is not a new phenomenon. As early as 1750 BC, King Hammurabi of Babylon issued decrees for the punishment of negligent physicians, particularly surgeons. In such a decree discovered at Susa in Iran and inscribed on a 2-m-high black diorite stone, Hammurabi states that:
If a doctor inflicts a serious wound with his operation knife on a free man's slave and kills him, the doctor must replace the slave with another. If a doctor has treated a free man but caused a serious injury from which the man dies, or if he has opened an abscess and the man goes blind, the man is to cut off his hands.
Not surprisingly, internal medicine rather than surgery was popular at that time. Indeed, to many surgeons today, this edict still seems to be exacted in a sublimated way.
The outcome of surgical intervention, whether death . . . [Full Text of this Article]
From the Department of Surgery, Warrington Hospital, Warrington, England.
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