The OR's
preference card
platform.
Build, update, and manage surgical preference cards in seconds — not hours. PREFcards is the cloud-based platform trusted by surgery centers and health systems to cut waste, reduce case costs, and put time back into patient care.

Real outcomes from real operating rooms.
PREFcards customers don't just digitize their cards — they recover capital, reclaim staff time, and run leaner surgical programs. Here's what that looks like.
Everything the OR needs. Nothing it doesn't.
PREFcards was built with surgical staff, for surgical staff. Every feature is shaped by feedback from circulating nurses, scrub techs, and OR managers running real cases — so the platform earns its place on day one.
Cross-platform access
Pull up any preference card from a desktop, tablet, or phone. QR-enabled smart cards let staff scan straight into the digital version from the case cart.
Learn moreBulk card editing
Update hundreds of cards across surgeons, procedures, and locations in two clicks. No more spreadsheet exports, no more manual reconciliation.
Learn moreAI-powered optimization
PREFcards analyzes usage patterns to flag unnecessary items, outdated supplies, and inconsistent setups — then suggests targeted updates surgeons actually approve.
Learn moreReal-time cost reports
See case costs by surgeon, by procedure, by facility. Surface variance, standardize without sacrificing quality, and walk into supply-chain meetings with the data.
Learn moreInventory sync
Connect to your existing inventory and supply systems. Track real usage against each card, and stop reordering what nobody opens.
Learn moreUnlimited training & support
Direct access to PREFcards specialists, unlimited training for every user, and a responsive in-app assistant — for as long as you're a customer.
Learn moreClean, organized, legible — the way preference cards were always meant to be.
The OR doesn't have time for cluttered spreadsheets or buried PDFs. PREFcards gives circulating nurses and scrub techs exactly what they need, exactly when they need it — and gives administrators the visibility to find savings hiding in plain sight.
- Standardized formatting across every card, every surgeon
- Image-mapped instruments and supplies for fast picking
- Version history and change tracking for compliance
- Integrates with major EHR and inventory systems
What surgical staff actually say about PREFcards.
For years our OR struggled with outdated systems like Word and Excel for preference cards. PREFcards was a game-changer — mass editing and quick item additions have been lifesavers. They've solved every issue promptly.
PREFcards has been the best system to make sure everyone in the OR is on the same page. I've used it for more than five years.
It's been very helpful streamlining the process of updating our surgery preference cards — keeping them organized and legible.
I believe the PREFcards software provided a much better experience for the nurses and scrub techs before, during, and after the surgical procedure.
PREFcards software is so user friendly to edit and manage surgeon cards. It also helps document supplies used in surgical cases at our surgery center...
How a 3-OR ENT surgery center transformed two of its most common procedures.
By standardizing tonsillectomy and adenoidectomy preference cards across all surgeons — and using PREFcards' AI Card Suggestions and Procedure Costs reporting — this single-specialty ASC delivered measurable cost and efficiency gains.
Read the case study
From the resources desk.
All articlesSurgeon Preference Cards: Common Questions, Answered by Real OR Experience
From what a preference card actually includes to why it's never quite right, here are the most common preference card questions answered the way frontline OR staff would explain them.
Read articleHow to Fix and Manage Surgeon Preference Cards (Without Wasting Time or Money)
Outdated preference cards drive supply waste, missing items, and slower case starts. Here's a practical, step-by-step approach to cleaning them up, cutting waste, and building a process that sticks.
Read articlePreference Card Optimization Study Reveals Savings Over $3.7 Million
Researchers at UC San Diego studied five years of preference card optimization across a multi-hospital health system and found over $3.7 million in savings — with a 31.1% reduction in unused item costs and fewer mid-surgery add-ons.
Read articleSupporting Veterans Administration Operating Rooms Through Technology Partnerships
PREFcards joins the VA's ongoing effort to modernize surgical workflows for veteran care across facilities nationwide.
Read articleWhy Outdated EHR Systems Are Holding the OR Back
Most EHRs were never built for the OR. Here's what that costs surgical teams every day — and where modern tools fit.
Read articleThe Impact of Current Tariffs on Surgical Supply Costs
Newly imposed tariffs on imported medical supplies are reshaping hospital and ASC budgets. Here's how the impact is reaching the OR — and what supply chain teams can do to prepare.
Read articleWhat Is Driving ASC Growth in 2025?
Ambulatory surgery centers are on a strong growth trajectory — fueled by an aging population, new procedure approvals, regulatory changes, and technology adoption. Here's what's shaping the ASC landscape this year.
Read articleOR Staff Burnout: Causes, Statistics, and What Hospitals Can Do About It
Burnout is hitting OR staff at rates of 50 to 70 percent, and worsening staff shortages are projected through 2034. Here's what's driving the crisis — and what surgical facilities can actually do about it.
Read articleOptimizing Surgeon Preference Cards for ROI, Efficiency, and Exceptional Patient Care
Outdated surgeon preference cards quietly drive up hospital costs and OR delays. Here's the 8-step plan to fix them — with documented savings of $1M+ in year one and ROI in 60 to 90 days.
Read articleHow a 3-OR ENT Surgery Center Identified $160K+ in Annual Savings With PREFcards
Case study: how a single-specialty ENT ambulatory surgery center used PREFcards to standardize tonsillectomy and adenoidectomy preference cards — generating over $160,000 in potential annual savings and a 65× return on investment.
Read articleNevada OR Nurses Gain Big Efficiencies Using PREFcards
Case study: a 12-OR Nevada surgical facility modernized its preference card process with PREFcards, enabling real-time card edits and uncovering $16,046 in cost accuracy improvements across just 20 high-use procedures — with $1.4M in projected annual savings.
Read articleStreamlining OR Efficiency: Improve Surgical Practices and Cut Waste
OR waste varies by up to 20% between surgeons performing the same procedure. Here's how better preference card management can close that gap — reducing supply costs, labor, and waste across every case.
Read articleSeize the Moment: Revamp Your Surgeon Preference Cards for Enhanced Efficiency
Staff turnover and COVID disruption have left many OR teams reliant on outdated preference cards — driving up supply costs, surgeon frustration, and training overhead. Here's why now is the time to fix them.
Read articlePREFcards Identifies 48% Reduction in Supply Costs Across 4 Procedures — Representing 12× ROI
A usage analysis at a Las Vegas ASC found that PREFcards delivered $58,000 in supply cost savings across just four common surgical procedures, representing a 48% cost reduction and 12× return on investment in year one.
Read articleTexas ASC Sees 47% Labor Savings with PREFcards for Preference Card Management
Case study: Baylor Scott & White Surgicare in Fort Worth measured PREFcards against paper and EHR-based preference card systems — and found 47% faster card management and a 45% increase in surgeon satisfaction.
Read article