Preference card
−$340/case
ClearCardAudited · 20 min

Clear the waste out of OR preference cards.

ClearCard is a preference card auditor designed for ambulatory surgery centers to improve card accuracy and recover supply dollars, without adding work for your OR.

The problem

Operating rooms are a major source of waste.

Opened supplies surgeons estimate go unused
26%
Meyer et al., Surgery 2022: multicenter survey. Surgeons' own estimate, not measured utilization
Unused supply cost, per case
$653–1,294
Measured directly in two academic studies: J Neurosurgery 2017; JAMA Surgery 2025
One department, one year
$2.9M
Annual extrapolation from 58 directly observed cases, UCSF neurosurgery
The root cause

The surgeon preference card.

OR nurses who say their cards are always accurate
3%
Sage Growth Partners survey of 100 frontline OR nurses, 2021
How often cards get reviewed
Infrequently
Industry case studies (Medline): reported as infrequent, with no published frequency
How it works

Three files in. Approved card fixes out.

Three CSVs every facility already has, in; a cleaner card, out. No EHR integration, no workflow change. Then next month's usage re-enters the loop, so cards never drift stale again.

1
Upload
2
Score
3
Approve
4
Export

One repeating loop

  1. 1

    Upload: Preference cards, case usage and item costs. Three CSVs you already have.

  2. 2

    Score: A Bayesian engine benchmarks each line against historical case data and emits confidence-scored recommendations.

  3. 3

    Approve: Surgeons approve, tweak or reject. One tap, with undo, logged for audit.

  4. 4

    Export: The cleaned card exports back to your existing system.

The product

Every dollar on screen, honestly split.

ClearCard separates savings you can bank now from savings that need a surgeon's judgment, and every recommendation expands to show the math behind it.

ClearCard facility dashboard showing recoverable and hold savings, review coverage and ranked recommendations

Accurate cards ripple outward: fewer wasted supplies, fewer case delays, cleaner billing, and more standardized procedures.

ClearCard turns a frustrating operational chore into a lever on OR performance.

Why surgeons can trust it

The model never gets the final word.

Safe by construction

A clinician-curated rescue taxonomy makes it structurally impossible to recommend removing an emergency item, regardless of what usage data says.

Zero hallucination

No LLM anywhere. Recommendations are deterministic templates: same inputs, same words, every time.

Human-in-the-loop

Nothing changes without a surgeon's line-by-line sign-off. Never automatic, always logged, always reversible.

No PHI, no EHR

Three CSVs in, cleaned card out. No integration to build, and no patient identifiers anywhere in the pipeline.

A card audit in 20 minutes, not months.

Walk the entire loop in the live demo: score, review, decide, export. No signup required.

Open the live demo →