There was no significant improvement in the outcome measures of individual and overall order time for relevant recommendations (Figure 1, Table 1). The optimal proxy of study success is improved time to documentation and completeness of recommendations, which can mitigate communication errors during critical, post-procedure handoffs. Characteristics and Timing of Brief Operative Note Documentation and Relevant Orders Pre-Intervention (n=157) Post-Intervention (n=163) P-value Brief Operative Note Documentation First Note in Same Calendar Day 133/157 (85%) 161/163 (99%) < 0.001 Brief Operative Note Written 78/157 (50%) 148/163 (91%) < 0.001 First Note within 2 Hours of Procedure or by 5pm 103/157 (66%) 150/163 (92%) < 0.001 Median Time to Documentation (minutes) 113 31 < 0.001 Relevant Recommendations Addressed Diet 51/78 (65%) 145/148 (98%) < 0.001 Proton Pump Inhibitor 33/39 (85%) 78/85 (92%) 0.228 Anticoagulation 12/24 (50%) 38/42 (90%) < 0.001 Antiplatelets 4/21 (19%) 36/43 (84%) < 0.001 Note Addressed All Relevant Data 30/78 (38%) 133/148 (90%) < 0.001 Median Time to Implementation of Order (minutes) Diet 108 92 0.029 Proton Pump Inhibitor 86 191 < 0.001 Anticoagulation 151 260 0.239 Antiplatelets 144 241 0.966 Author Notes *Presenter