Background: The Surgical Care Improvement Project (SCIP) was launched in 2005. The core prophylactic perioperative antibiotic guidelines were created due to recognition of the impact of proper perioperative prophylaxis on an estimated annual one million inpatient days and 1.6billioninexcesshealthcarecostssecondarytopreventablesurgicalsiteinfections(SSIs).Aninternalstudywasconductedtocreatelowcost,standardizedprocessesonaninstitutionalleveltoimprovecompliancewithprophylacticantibioticadministration.Methods:WeassessedtheimpactofauditingandnotifyingprovidersofSCIPerrorsonoverallcompliancewithinpatientantibioticguidelinesandonnetfinancialgainorlosstoalargetertiarycenterbetweenMarch1st2010andSeptember31st2013.Wehypothesizedthatdirectphysician−to−physicianfeedbackwouldresultinsignificantcomplianceimprovements.Results:Throughphysiciannotification,ourhospitalwasabletosignificantlyimproveSCIPcomplianceandemphasisonpatientsafetywithinayearofinterventionimplementation.Thehospitalearnedanadditional290,612 in 2011 and $209,096 in 2012 for re-investment in patient care initiatives. Conclusions: Provider education and direct notification of SCIP prophylactic antibiotic dosing errors resulted in improved compliance with national patient improvement guidelines. There were differences between the anesthesiology and surgery department feedback responses, the latter likely attributed to diverse surgical department sub-divisions, frequent changes in resident trainees and supervising attending staff, and the comparative ability. Provider notification of guideline non-compliance should be encouraged as standard practice to improve patient safety. Also, the hospital experienced increased revenue for re-investment in patient care as a secondary result of provider notification