Percentage of patients age 18 or older who are taken to the operating room for an elective or emergent surgical procedure under regional, MAC, and/or general anesthesia who have been documented for having all two intraoperative components addressed during the intraoperative phase of care: 1. An intraoperative safety checklist is performed prior to incision that includes the verification of patient's name, the procedure to be performed, laterality, confirmation of site marking, allergies, confirmation of the administration of preoperative antibiotic prophylaxis and VTE prophylaxis if appropriate, anticipated equipment, placement of Bovie pad, correct patient positioning, and display of essential imaging. 2. An intraoperative surgical debriefing takes place at the end of the case by the surgeon confirming wound classification, correct counts, procedure performed, specimen review, equipment review, postoperative destination and postoperative care plan including plan for perioperative antibiotics, VTE prophylaxis and Foley catheter.