May 26, 2026

Learn more about an AI agent that’s live in UHealth’s ORs

By: Joe Paone
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The University of Miami Miller School of Medicine has posted about the work of Archan Khandekar, MD, assistant professor of urologic oncology at its Desai Sethi Urology Institute (DSUI), who has led the implementation of a HIPAA-compliant artificial intelligence (AI) agent that is now live in University of Miami Health System (UHealth) ORs.

The AI agent “drafts operative notes from surgical video and answers complex research questions in minutes,” writes the med school. This “single, multimodal AI agent…links intraoperative video with the electronic health record” and now runs in production within UHealth, “drafting operative notes, accelerating clinical research and informing how these tools can be deployed safely.”

Dr. Khandekar presented on DSUI’s “surgical AI program” at the 2026 American Urological Association Annual Meeting.

Live deployment revealed the following, according to the article:

  • “Median time to a signed operative note fell from roughly 26 minutes to less than two minutes per case.”
  • “An AI-drafted report was generated for every case, and surgeons reviewed, edited and signed each one without manual dictation.”
  • Surgeons made about six edits per case, most often correcting artery versus vein labeling.”
  • “The system reliably captured frequently missed elements, including secondary procedures, unusual instrument use such as intraoperative ultrasound and anatomic variations.”

Read much more about the program here.

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