All case studies
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.

- 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
- 01Three weeks shadowing across two wards, timing every interaction
- 02Found 61% of charting minutes went to navigation, not entry
- 03Designed a one-thumb capture mode with a persistent patient context bar
- 04Cut the vitals form from fourteen fields to six with smart defaults
- 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.”
Outcome
- 40 minutes returned per nurse, per shift
- Navigation time down 61%
- Piloted on two wards before full rollout