Operating Rooms (ORs) are rich in data but so much of surgery still runs on missing information or instinct. Until now.
A case starts late because the right kit isn’t in the room. Turnaround time lags because tasks happen in siloes or sequence, and never in parallel. Documentation gets completed after the facts, when details are already fading fast. Across a surgical day, these moments matter. They don’t just add friction, they quietly drain surgical capacity, increase stress and introduce avoidable risk.
Risk that impacts lives. Time and time again.
For years, the answer has been “better records” and, to be clear, electronic health records (EHRs) do matter. They are essential systems of record where patient history, orders, notes, and outcomes live. EHRs provide a reliable source of truth, and they underpin safe, and accountable care. But as surgery unfolds in real-time, sometimes EHRs need support.
This is where Proximie comes in. It complements the system of record with something modern surgery has been missing: live, real-time orchestration. A connected layer of intelligence that sits across the OR by using ambient data capture and computer vision to turn surgical moments into structured, usable insights; before, during, and after surgery. Not more data for data’s sake. The right data, at the right time, in the right format to help teams run at their best.
The OR is a live environment
ORs run on coordination, shared situational awareness, and literally thousands of micro-decisions that happen in the blink of an eye; some by design, some by instinct and intuition, and some by necessity.
All of this means that when you try to manage a live environment using only records, you end up relying on manual workarounds: a checklist copied into a spreadsheet; staff chasing updates across whiteboards, radios and corridors; documentation patched together after the fact. This is not a failure of any team or individual, it’s a mismatch of tools that has always been the status quo.
But in an era where every second in the OR counts and with healthcare systems under immense strain, modern surgery needs a system of action. Modern surgery needs a layer that can see what’s happening, interpret it, and support teams as the day unfolds in real-time.
What “OR orchestration” actually means
Orchestration is more than visibility. It’s the ability to align people, processes, and timing so that the OR runs like a coordinated system, not a series of disconnected tasks.
In practical terms, orchestration means:
Proximie’s Intelligence Suite enables that by capturing surgical reality as it happens.
From ambient capture to structured, actionable insight
The problem with most OR data is that it’s either manual and incomplete or retrospective and too late. The moments that matter most, such as OR readiness, surgical flow, patient transitions, or interruptions, are rarely captured in a consistent way.
Proximie changes that by operating ambiently in the environment to understand what’s happening in ORs without asking team members to become data clerks. That’s the real shift that is already happening.
One example of the tangible impact that the Intelligence Suite is making comes via an independent evaluation at Guy’s & St Thomas’ NHS Foundation Trust (GSTT), which is using Proximie across two of their NHS robotic thoracic surgery lists. Using Proximie the team at Guys have found that they can successfully reduce surgical procedure lengths by nearly 20 minutes per case on average.
“These results reflect concrete improvements that can help reduce cancellations, make better use of NHS resources, and ultimately allow more patients to receive the care they need sooner,” said Andrea Bille, consultant thoracic surgeon at the Trust.
Instead of relying on partial timestamps and delayed notes, Proximie is helping teams build a structured view of the surgical pathway from real-world signals. Bottlenecks can be identified and addressed before they impact a whole day. Improvement can be tracked objectively, not anecdotally. This is how the OR becomes measurable in a way that serves the people inside it. This is how the OR becomes intelligent.
At the American College of Surgeons Clinical Congress 2025, Jay A. Redan, MD, FACS, a minimally invasive surgeon from AdventHealth Celebration in Florida, highlighted the unique power of Proximie, and its ability to capture the right data in the OR.
Dr. Redan presented discrepancies they had discovered between the EHR and what can be seen through the lens of Proximie's ambient data capture. He noted that hospital staff can inaccurately estimate timing data; in 30% of case-length data, total OR time was underestimated by more than 60 minutes.
“Once we start collecting accurate information, we can all work together to be efficient,” Dr. Redan said.
Before surgery: Orchestration starts before the first incision
The day doesn’t fall apart in the OR, it falls apart hours earlier, when preparation is fragmented and information isn’t aligned.
Orchestration starts before the first incision and with Proximie we can help to ensure that teams have clarity on what’s needed, when it’s needed, and what risks could disrupt their surgical flow before the day even begins.
With Proximie, hospitals can move from reactive problem-solving to proactive planning, giving teams real-time insight, and foresight, to spot patterns that lead to late starts and delayed turnover or identifying recurring readiness issues.
During surgery: Orchestrating in real-time without distraction
Intraoperatively, the OR requires focus, skill, agility and calmness under pressure. Any technology within the OR that creates noise, interruption, or administrative burden fails by default. Proximie’s role isn’t to pull attention away from the operative field, it’s to support teams with visibility and continuity when it matters most.
Proximie helps translate complex surgical workflow into structured events. This helicopter view of a healthcare system builds an objective timeline of what happened, when, and how the cases flowed across a team’s OR facilities.
When the OR runs well, it’s felt immediately by staff and by patients. Orchestration is about making that standard, not occasional.
After surgery: documenting, learning, and optimising
After the case, the work continues, often under pressure. Notes need completing, delays need explaining, learnings need capturing, and tomorrow’s list is already fast approaching. This is where Proximie’s structured insights change everything. By turning surgical moments into usable data, Proximie helps organisations move beyond “post-hoc reporting” into true operational learning.
Patterns become clear and improvement becomes measurable. Teams can compare like-for-like lists. They can understand where variation creeps in, and track progress over time. But crucially, Proximie doesn’t replace the EHR, it seamlessly integrates with it, and more importantly, it strengthens it.
EHRs remain the destination for patient recordkeeping and clinical documentation. Proximie enhances the pathway by capturing the operational reality around each case in each OR, bringing context, structure, and signal into an environment that has historically been difficult to measure.
The future of surgery is orchestrated
The OR is one of the most valuable, complex environments in healthcare and one of the hardest to run well. In a world of rising demand for healthcare, workforce constraints, and growing pressure on capacity, the answer is not to work harder. It has to be to work smarter.
This won’t be achieved by asking more of clinicians. It is about giving them a system that supports how surgery actually happens. This is what Proximie delivers: an orchestration layer for modern surgery; a way to complement systems of record with live data and insight; a way to turn moments into structure; a way to protect time, reduce friction, and help teams deliver their best, consistently.
Dr. Nadine explains: "In an OR, productivity isn’t one person working harder, it's an ecosystem working in sync.
“Proximie is giving teams visibility into where time is actually lost and how it can be protected. Turning seconds into something meaningful: smoother workflows, fewer avoidable delays, and more care delivered within the same finite day.”
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