One of the major challenges for health services worldwide is managing the variations in care delivery associated with emergency general surgery (EGS) [1, 2]. Frequently, the standards of care delivered to these patient groups are considered to be suboptimal and heuristic [3, 4]. Patients with emergency surgical conditions need prompt attention, early diagnosis, and excellence in treatment to ensure good outcomes. To achieve these goals, a system with adequate planning, resourcing, and monitoring has to be in place. There is abundant local, national, and international evidence that clinical decision-making in EGS is frequently sub-optimal,

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