Sentence ↔ frame, not sentence → black box.
Every sentence in the draft carries a timestamp chip. Click it and the video scrubs to the anchor frame. A missing citation is flagged, not hidden. No surgeon signs a note they can't defend.
A product of Papyrus HealthHIPAA-ready · BAA with AWS
Operative notes,
drafted from your video.
Surgeons dictate notes from memory, sometimes mentally exhausted and hours after the case. ScrubNote watches the procedure, drafts a template operative note in your voice, and cites the frame behind every sentence.
- HIPAA posture · BAA on request
- Signed before patient leaves OR · TJC-ready
- Draft ready in ~5 min · 60-min case
- EHR integrate · PDF · DOCX · HL7 CDA export
case · 3f9a2e7d · lap choleready for review
Phase 4 · Calot`'`s triangle26:48.12 / 58:14
Maryland 0.96Hook 0.88Operative note · SAGES47 / 51 cited
Under general endotracheal anesthesia, pneumoperitoneum was established to 15 mmHg at the umbilicus03:12. The critical view of safety was achieved prior to clipping the cystic duct, demonstrating two structures entering the gallbladder26:48. The cystic artery was identified, clipped proximally and distally, and divided32:14 · low conf. No bile spillage appreciatedcitation needed.
CPT 47562Lap cholecystectomy, simple0.94
Why this, why now
Operative notes are the most consequential document a surgeon writes — and the one they spend the least time on.
- 28%
of operative reports contain documentation errors — including missed procedures and insufficient detail to support CPT codes.
JACS · prospective blinded audit of dictated reports - 3–15%
of surgical revenue is lost to charge-capture failure every year. A single $80M hospital leaves roughly $500K on the table.
HFMA · Sage Growth Partners · 2023–25 - 3.4 hrs
per clinical day that surgeons spend in the EHR — nearly a fifth of it after hours. Documentation is the #1 driver of burnout.
AMA · Epic Signal · 2024
The ground truth is already in the room. Every OR records video that — today — gets discarded. A 2025 JACS study confirmed AI-generated reports drafted from that video are measurably more accurate than surgeon-authored notes (87.3% vs. 72.8%, p=0.001).
How it works
Video auto-upload. Get a draft. Review with evidence.
A surgeon with eight seconds between cases can start a note before the patient leaves the room. Three stages, no guesswork.
- 01
The video lands itself
ScrubNote integrates with your OR recording stack so the case arrives in your queue automatically the moment the room is closed out. No surgeon needs to upload anything. A manual drop-in (MP4 or MOV) is still there when you want it.
- 02
ScrubNote drafts the note
Phase recognition and timeline. Instrument and anatomy detection. Critical-view-of-safety check where feasible. A large multimodal model composes a template operative draft in your voice, cites every sentence, and suggests CPT and ICD-10-PCS codes.
- 03
Review, sign, send to the chart
Side-by-side video and note. Click any sentence to scrub the video. Fix what's wrong, keep what's right, sign off — the note posts directly into the EHR. Prefer a file? Export PDF, DOCX, or HL7 CDA from the same screen.
What makes it ScrubNote
Traceability is the product.
Anyone can pipe video through a vision model. What makes a draft trustworthy to a surgeon is knowing where every claim came from.
Note template, in your voice.
The draft follows the standard templates out of the box — but can be customized. Free-text you add to intake carries through so the note sounds like you, not a machine.
CPT + ICD-10-PCS, with reasoning.
47562 / 47563 / 47564 suggested with the basis the model used — “no cholangiogram in the phase timeline, simple chole.” Professional-fee codes for the surgeon, facility codes for the site.
Posts straight into the chart.
The signed note lands in the patient's encounter automatically — editable in the EHR, not a PDF attached to it. HIPAA-compliant PDF, DOCX, or HL7 CDA export is one click away.
Suggest, never submit.
Every code is a suggestion a human accepts — never an auto-submit. Low-confidence citations are flagged; sentences without video support get a citation needed mark that blocks sign-off.
Fast enough for between-cases.
Median draft time: about 2 minutes on a one-hour case. Upload at the sink, a draft is waiting when you sit down or on-the-go from your phone.
How it compares
Dictation is memory. Scribes are hearsay. ScrubNote is the record.
Dictation
Human scribe
ScrubNote
Source of truth
Surgeon recollection
Scribe's notes
The video itself
Completed before patient transfer
Often delinquent (TJC mandate)
End-of-day at best
Signed between cases
Time per case
10–20 min dictation + review
5–10 min OR interruption
~5 min review between cases
Evidence trail
None
None
Every sentence → frame
CVS documentation
Free-text, easy to miss
Free-text, easy to miss
Detected + cited
CPT / ICD suggestion
Manual or coder-dependent
Manual or coder-dependent
Suggested with reasoning
Billable procedures captured
∼70% in complex cases
Depends on the scribe
All phases visible in video
Works when you're tired
Less so
Depends on the scribe
Identically, every time
*Not a substitute for clinical judgment. ScrubNote drafts the note; the surgeon signs it.
What we believe
Three rules we won't bend.
ScrubNote is built on a short list of convictions about how AI belongs in an operating room. Everything else is a feature; these are the floor.
01
The surgeon signs, not the model.
A draft is a draft until a human reviews it. ScrubNote never auto-posts a note, never auto-submits a code, never closes a chart on its own. The surgeon's signature is the only event that moves anything forward.
02
Every sentence needs a frame.
If the model can't point to the moment in the video a claim came from, the claim doesn't go in the note. This is the difference between a draft a surgeon can defend in a deposition and a draft that looks fluent but hallucinates.
03
Suggest, never submit.
The DOJ has signaled AI-driven coding as a 2026 FCA enforcement priority. Every CPT and ICD-10-PCS code ScrubNote produces is a suggestion with visible reasoning, waiting for a human to accept it.
FAQ