Nally DM, Sørensen J, Valentelyte G, et al. - Via a national population-based study using a full administrative inpatient dataset (National Quality Assurance Improvement System) from publicly 24 funded hospitals in Ireland, experts explored the correlation between hospital or surgeon volume and mortality of individuals who underwent emergency abdominal surgery (EAS) at the national level. The study included 10,344 EAS episodes. A total of 798 in-hospital deaths transpired, yielding an overall in-hospital mortality rate of 77 per 1,000 episodes. Between low and high volume hospitals, no statistically important variation in the adjusted mortality rate was noted. Low volume surgical teams had a greater adjusted mortality rate in comparison with high volume teams, a variation that continued amongst low volume surgeons practicing in high volume hospitals. Hence, superior survival outcomes were seen in individuals undergoing EAS managed through high volume surgeons. Moreover, these findings add to the ongoing discussion about the configuration of emergency surgery services and emphasize the necessity for efficient clinical governance concerning noted disparity in outcomes within and among institutions.