The OR Black Box® is an innovative data recorder designed to improve surgical outcomes by capturing detailed, real-time information during procedures. Inspired by the black box in airplanes, this technology collects data from various sensors to monitor aspects like communication, teamwork, safety processes, and environmental factors within the operating room. By providing surgical teams with objective, data-driven insights, the OR Black Box allows for proactive improvements in patient safety and operational efficiency, rather than relying on retrospective analysis of complications. It helps identify deviations from ideal surgical practices, enabling teams to adjust before patient harm occurs. The system emphasizes transparency and the importance of using data to drive decision-making in a non-punitive manner, ensuring that quality improvement is the focus rather than assigning blame. The data gathered is anonymized, used for educational purposes, and securely destroyed, minimizing concerns around patient consent or malpractice exposure.