Goldenberg MG et al. – The most common cause of morbidity in hospitalized patients is the incidence of errors in the operating room (OR) which result in adverse events. As the comprehensive evaluation of operative quality is not possible with the traditional postoperative analysis, a multiport synchronized data capture and analytic platform called the OR Black Box was developed and tested. Unlike the previous recording devices which were limited to capturing the data through only audio and video, the OR Black Box continuously acquires several intraoperative data feeds, such as audiovisual data, physiological parameters from both patients and healthcare professionals, and other multiple sensors and devices. Videos are captured using in-room wide-angle cameras that capture the videos, whereas intracorporeal videos are obtained by laparoscope or robotic camera or light-mounted or wearable cameras in open surgical procedures. All inputs are synchronized, encrypted, and stored on a secure server. Using the relevant data derived from these inputs, the expert analysts and software-based algorithms populate a procedural timeline. The data points include procedural steps, disruptive environmental and organizational factors, technical and nontechnical skills of OR team, surgeon physiological stress, and intraoperative errors, events, and rectification processes.