The AMC hospital in Amsterdam is introducing the Black Box Platform in one of its operating rooms making it the first Dutch hospital to do so. This system, modeled after aviation's black box, tracks and analyzes various data points during surgery, including the patient's vital signs, the movements of the surgical team, and the frequency of operating room door openings. It also records video and sound, with the goal of enhancing patient safety by learning from mistakes and identifying potential improvements. The data is used to flag abnormalities, which can be reviewed by the surgical team after the procedure. Notably, some of this information, like video and audio recordings, will not be included in patient files but can be made available to patients upon request, with identifying features anonymized.

The initiative aims to foster a non-punitive, learning-focused environment for the surgical team, according to surgeon Marlies Schijven, who will perform the first surgeries recorded by the black box. The system, invented by Canadian surgeon Teodor Grantcharov, is designed to support continuous improvement in surgical practices.