The objective of the program was to enable the implementation of earlier work recommended by the Ontario Ministry of Health and Long-Term Care’s Surgical Process Analysis and Improvement Expert Panel. [...] The clinical and non-clinical leaders of these projects, supported by a network of subject matter experts, worked together to document the experiences of the project hospitals and to develop tools that would help with implementation. [...] The same principles and leading practices can and should be employed in other areas of the perioperative environment focused on less invasive practices such as the cardiac catheter laboratories, the cystoscopy and endoscopy suites, and even diagnostic imaging and radiology areas. [...] Procedure card management is the logical creation and reorganization, as well as the active monitoring and maintenance, of a standardized set of procedure documents. [...] This is a one-time been loaded and the case cart sent to the sterile core, a clinician will use the requirement known as a surgeon- supplies stored in the sterile core to complete the list.