Objective: To compare the criteria of admissions, referrals and service quality of the said hospital with the standard guidelines followed in different institutes and societies worldwide. Material and Methods: A retrospective study was done.Secondary data was collected from the hospital archives from 1st June 2020 to 31stMay 2021. Documents and files of all the patients admitted post-operatively to the high dependency unit were studied and data was collected. The data were analysed in SPSS version 26. Results: A total of 100 patients were admitted to the HDU post-op. 100% 0f these patients were sent to the HDU without mentioning any specific admission criteria. 64 patients were sent to the HDU after surgery without any referrals or notes, while progress reports and vitals were noted in 60 patients by a medical officer and in 32 patients by a house officer. Conclusion: Vitals of the patients were documented on regular basis, but the criteria of their admissions and referrals to HDU Post-Op are not mentioned. Receiving of the patient in HDU was not properly documented. Staff should be increased in number and training to match the standards worldwide. The equipment is scarce too; also needs updating.

HDU, Referral, Admissions, Audit, Post-Operative, Kuwait Teaching Hospital, Peshawar.