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Terrace Health

Gave nurses back 40 minutes a shift

Nine years of extensions and nothing ever removed. We timed every interaction across two wards and designed for one thumb.

Terrace Health — Gave nurses back 40 minutes a shift
Industry
Healthcare
Year
2025
Services
Field research, Service design, UI design
Team
Field researcher, Service designer, UI designer

The challenge

Terrace's charting software had been extended for nine years without anyone removing anything. Nurses were logging vitals on paper towels and transcribing them at the end of a twelve-hour shift. The backlog listed 180 feature requests, none of which addressed the actual bottleneck: the software assumed a seated user with two free hands.

Our approach

  1. 01Three weeks shadowing across two wards, timing every interaction
  2. 02Found 61% of charting minutes went to navigation, not entry
  3. 03Designed a one-thumb capture mode with a persistent patient context bar
  4. 04Cut the vitals form from fourteen fields to six with smart defaults
  5. 05Made destructive actions reversible for thirty seconds instead of confirmed up front

Results

40 min
Returned per nurse, per shift
-61%
Time lost to navigation
2 wards
Piloted before full rollout

In the client's words

The first prototype was worse than what we had. They said so out loud, threw it out, and the third one is what our nurses use every day.

Marcus Reinhold · Chief Nursing Informatics Officer, Terrace Health

Outcome

  • 40 minutes returned per nurse, per shift
  • Navigation time down 61%
  • Piloted on two wards before full rollout