The OR Black Box is an innovative AI-driven platform designed to revolutionize surgical environments by addressing critical needs in patient safety, quality improvement, skills mastery, and operational efficiency. This comprehensive solution integrates ambient technologies, data analytics, video capabilities, and artificial intelligence to provide actionable insights across the surgery department.
Key features of the OR Black Box include:
-Room State: Offers real-time analytics and predictive insights to optimize scheduling and reduce unplanned overtime.

-Surgical Safety Checklist: An auditing and benchmarking tool ensuring compliance with safety procedures at critical points during surgery.

-Case Discovery: Leverages AI to automatically detect clinical and operational outliers, enabling root cause analysis and quality improvement through video review.
-OR Explorer: Provides a growing library of surgical videos for education, research, and performance enhancement.


The platform promotes transparency, continuous improvement, and care standardization by allowing organizations to compare surgical performance and identify best practices. It streamlines surgical suite workflows, maximizes efficiency, and enhances staff satisfaction.
Developed by Surgical Safety Technologies Inc. (SST), the OR Black Box is built on research excellence through partnerships with leading hospitals. It integrates with existing systems while future-proofing organizations through an open platform for emerging innovations.
With over 80 peer-reviewed publications supporting its efficacy, the OR Black Box empowers surgical teams to systematically analyze and refine their performance, driving continuous, data-driven optimization in surgical care delivery.

• eCART is a research-based, AI-driven software as a medical device (SaMD) that utilizes a machine learning algorithm to continuously assess hospitalized patients’ risk of impending death or intensive care unit (ICU) transfer, assisting medical staff in swift and accurate recognition of patients requiring increased medical attention. eCART draws upon readily available patient data from the EHR, rapidly quantifies disease severity, and predicts likelihood of critical illness onset, hours before it happens.
• eCART received FDA 510(k) clearance in 2024, with clinical performance data of nearly two million hospitalizations from 21 hospitals, including an unprecedented level of real-world prospective data, to ensure consistent accuracy across geography, age, race, and top medical conditions (e.g. sepsis, COPD, heart failure). 
• Built upon more than a decade of ongoing scientific research, eCART was developed at UChicago Medicine by Dr. Dana Edelson, MD, MS and Dr. Matthew Churpek, MD, PhD and is well chronicled in published literature. The analytic and workflow have been in use in clinical practice since 2016.

At AgileMD, we are building the most advanced real-time predictive analytics and clinical pathways platform for hospitals.

To date, AgileMD tools have been used on more than 4 million patient encounters by more than 135,000 clinical users in over 250 hospitals, including some of the nation's leading academic medical centers. AgileMD's eCART clinical deterioration prediction software is FDA cleared and the first AI-powered early warning device for ward patients to go through the FDA process with real-world prospective data. 

AgileMD is backed by premier start-up partners MATTER, YCombinator, and Rock Health, and our cutting-edge analytics are built on more than decade of ongoing research at the University of Chicago. In 2021, AgileMD garnered nearly $3 million in combined federal research and development funding from the U.S. Department of Health and Human Services (HHS), including the National Institutes of Health (NIH) and the Biomedical Advanced Research and Development Authority (BARDA).

AI-Driven Insights: Utilizes advanced AI and machine learning for autonomous risk detection and predictive insights, going beyond traditional EHR data tracking.

Real-Time Analytics: Provides real-time operating room analytics, allowing for immediate operational adjustments.

Customizable Annotation Framework: Offers tailored video analysis tools for center-specific needs and metrics, unlike the more rigid structures of most EHRs.

Continuous Improvement Engine: Facilitates ongoing performance optimization through comparative analytics and best practice identification.

Open Platform Architecture: Designed to integrate with existing systems and accommodate future innovations, offering more flexibility than closed EHR systems.

Surgical Safety Checklist Integration: Incorporates specialized tools for monitoring and improving surgical safety checklist compliance.

Advanced Operational Optimization: Offers predictive insights for scheduling and resource allocation, going beyond basic EHR scheduling capabilities.

Comprehensive Video Integration: Incorporates video capabilities for surgical procedures (open, lap, robotic), enabling visual review and analysis not typically available in competing systems.

Multifaceted Approach: Addresses patient safety, quality improvement, skills mastery, and operational efficiency in a single platform.

Surgical-Specific Focus: Designed specifically for high-acuity surgical environments, offering specialized features not found in other solutions.

Research-Backed: Supported by over 80 peer-reviewed publications, demonstrating proven value and efficacy.

Automated Outlier Detection: Automatically identifies clinical and operational outliers for focused improvement efforts.

Surgical Safety Checklist Integration: Incorporates specialized tools for monitoring and improving surgical safety checklist compliance.

Surgical Safety Network: Facilitates cross-organizational collaboration and benchmarking for safety and quality initiatives. 

• Continuously monitors EHR data in real time
• Stratifies hospitalized patients by risk of impending all-cause clinical deterioration and sepsis
• Notifies inpatient providers when patient may need additional assessment and management
• Recommends clinical pathways with integrated order entry

• Authorized: FDA 510(k) cleared
• Tested: Derived and validated in nearly 3 million patient encounters across 28 hospitals
• Experienced: 8+ years in clinical use; 10+ years of published academic literature on value over other early warning scores
• Accurate: High sensitiviy and specificity, meaning fewer false alarms and more efficient focus on the highest risk patients
• Integrated: Embedded cross-team workflow ensures that risk scores are not ignored and action is taken
• Benchmarked: Robust reporting, benchmarking, and implementation support drive quality improvement