TrueSite · Agentic Surgical Safety System · Purpose Health
AI Solutions · Agents on Epic Agent Factory

TrueSiteThe agentic surgical safety system.

Cross-references every laterality assertion as it enters the record, conducts the time-out by ambient voice, and gates closure until counts reconcile. No new portal: it surfaces in the OR workflows your teams already use.


The Problem

Never events still happen.

68%

Of wrong surgeries reviewed by The Joint Commission in 2024 were at the incorrect site; 56% of those wrong laterality (The Joint Commission Sentinel Event Data, 2024)

$1.3B

In malpractice payments for surgical never events over two decades (Johns Hopkins analysis, National Practitioner Data Bank)

1 in 5,500

Surgeries leaves a retained item, at roughly $600K in total cost per event (peer-reviewed surgical literature)


Five Agents, One Chain of Evidence

Agents gate attestations and documentation, never the surgeon's hands. Soft stops with override-and-document.

Built to run on Epic Agent Factory. Your clinicians and staff decide; the agent assembles and drafts. Epic only for now.

1 · Laterality concordance

Every assertion cross-referenced

Booking, consent, H&P, radiology, DICOM tags, nursing verification, and the site-mark photo.

2 · Time-out conductor

Ambient voice

Confirms each required element was verbalized and affirmed, then files the attestation.

3 · Compliance rules engine

Resolved per site

Universal Protocol at the base, WHO checklist, state packs, and facility policy.

4 · RSI sentinel

Counts reconcile before closure

Monitors RFID and barcode counts, soft-blocks closure until counts reconcile, prompts intraoperative X-ray.

5 · Visual cueing

Laterality banner

Persistent banner on OR displays; flags mirrored or contralateral imaging before it misleads.


Governance

Humans stay in the loop.

Surgeons and OR staff make every decision. The platform surfaces evidence and gates documentation, with override-and-document on every soft stop.

Local validation on your data

Human-in-the-loop on every patient-facing action

BAA-covered models with zero-retention inference

Source-linked output with no inferred values

Traceable agent actions


How We Engage

Phase-gated delivery, with a go/no-go at every gate.

Phase 0

Discovery & design

Stakeholder interviews, data profiling, governance intake, and baseline lock.

Phase 1

Data foundation

Pipelines, feeds, and models built on your data; templates signed by your clinical and operational owners.

Phase 2

Build

Agents, workflows, and dashboards; the gate requires QA accuracy on historical cases.

Phase 3

Pilot

Parallel run beside the current process with 100% human review and weekly scorecards.

Phase 4

Scale & handoff

Runbooks, executive ROI readout, 60-day hypercare, optional managed operations.

Start with a surgical safety readiness review.

Your Universal Protocol workflow against the five agents, with your perioperative leadership, in one working session.

Contact Us →

Sources: The Joint Commission Sentinel Event Data Summary, 2024; Mehtsun et al., Surgery, 2013 (National Practitioner Data Bank); retained surgical item incidence and cost from peer-reviewed surgical literature. Epic, MyChart, Agent Factory, Art, Emmie, and Penny are trademarks of Epic Systems Corporation. MEDITECH and Expanse are trademarks of Medical Information Technology, Inc.