The 68-Second Fix

The 68-Second Fix

Redesigning Medicine Dispensing at Scale

Redesigning Medicine Dispensing at Scale

Thousands of patients at a pharmacy counter. 250+ healthcare facilities. A pharmacist clicking through a broken system. Every wrong click costs seconds. Every second costs someone in that queue.

We redesigned the dispensing flow and reduced frustration of pharmacist and every patient in that queue.

Thousands of patients at a pharmacy counter. 250+ healthcare facilities. A pharmacist clicking through a broken system. Every wrong click costs seconds. Every second costs someone in that queue.

We redesigned the dispensing flow and reduced frustration of pharmacist and every patient in that queue.

The 68-Second Fix

Redesigning Medicine Dispensing at Scale

Thousands of patients at a pharmacy counter. 250+ healthcare facilities. A pharmacist clicking through a broken system. Every wrong click costs seconds. Every second costs someone in that queue.

We redesigned the dispensing flow and reduced frustration of pharmacist and every patient in that queue.

Project At a Glance

Project At a Glance

Project At a Glance

PROJECT

PROJECT

Hospital Management Information System

Hospital Management Information System

Dispensing Module Redesign

Dispensing Module Redesign

MY ROLE

MY ROLE

UX Designer

UX Designer

End-to-End Ownership

End-to-End Ownership

Research

Research

Design

Design

Test and Refine

Test and Refine

DAILY PATIENTS

DAILY PATIENTS

3000+

3000+

Per Major Hospital

Per Major Hospital

FACILITIES

FACILITIES

250+

250+

Major, Peripheral, Maternity, Dispensaries

Major, Peripheral, Maternity, Dispensaries

IMPACT

IMPACT

68

68

sec

Saved per dispensing, 30% faster than previous flow

Saved per dispensing, 30% faster than previous flow

DOMAIN

DOMAIN

Public Healthcare

Public Healthcare

Enterprise SaaS, HMIS

Enterprise SaaS, HMIS

PRIMARY USERS

PRIMARY USERS

Pharmacists

Pharmacists

at Hospital Dispensing Counters

at Hospital Dispensing Counters

TOOLS

TOOLS

Figma

Figma

FigJam

FigJam

Claude

Claude

Perplexity

Perplexity

The system wasn't broken once.
It was broken everywhere.

The system wasn't broken once.
It was broken everywhere.

The system wasn't broken once.
It was broken everywhere.

The

Problem

The Problem

The

Problem

INVISIBLE WORKLOAD

INVISIBLE WORKLOAD

No one knew what was pending.

No one knew what was pending.

Pending, partial, and dispensed records lived in the same list. Pharmacists tracked progress in their heads.

Pending, partial, and dispensed records lived in the same list. Pharmacists tracked progress in their heads.

FRAGMENTED WORKFLOW

FRAGMENTED WORKFLOW

IPD and OPD. One List. No Categorization.

IPD and OPD. One List. No Categorization.

Two completely different patient types, handled identically. Every switch meant re-orienting from scratch.

Two completely different patient types, handled identically. Every switch meant re-orienting from scratch.

REAL WORLD SCENARIO, IGNORED

REAL WORLD SCENARIO, IGNORED

Partial doses. Substitute medicines. No trace.

Partial doses. Substitute medicines. No trace.

When stock ran out, pharmacists improvised. The system had no way to record it. Patients left confused.

When stock ran out, pharmacists improvised. The system had no way to record it. Patients left confused.

TIME IS THE ENEMY

TIME IS THE ENEMY

4 minutes. Per patient. Every patient.

4 minutes. Per patient. Every patient.

Too many clicks before reaching the actual task. In a queue of hundreds, every second compounded.

Too many clicks before reaching the actual task. In a queue of hundreds, every second compounded.

I didn't start with a problem statement.

I started at the counter.

I didn't start with a problem statement. I started at the counter.

I didn't start with a problem statement.

I started at the counter.

Observing pharmacists during live working hours. No structured script. Just watching, listening, and noticing what they had stopped noticing themselves.

Observing pharmacists during live working hours. No structured script. Just watching, listening, and noticing what they had stopped noticing themselves.

Primary

Research

Primary Research

Primary

Research

"He switched the tab. His face said everything, किती वेळा?

"He switched the tab. His face said everything, किती वेळा?

Moment 01

Moment 01

The face that said everything genuinely.

The face that said everything genuinely.

One pharmacist never complained about switching between IPD and OPD. But every time he did, his expression changed. Frustration that had become too routine to mention.

One pharmacist never complained about switching between IPD and OPD. But every time he did, his expression changed. Frustration that had become too routine to mention.

Non-verbal Observation

Moment 02

Moment 02

Every eye in the queue was watching.

Every eye in the queue was watching.

Patients. Relatives. Watching every click. The pharmacist wasn't just slow, he was visibly slow. The pressure of that queue made every extra step cost more than just time.

Patients. Relatives. Watching every click. The pharmacist wasn't just slow, he was visibly slow. The pressure of that queue made every extra step cost more than just time.

Environmental Observation

“You know, dispensing time is the real problem, ती नेहमी खूप जास्त असते

Moment 03

Moment 03

He said it. Then said it again.

He said it. Then said it again.

One pharmacist mentioned dispensing time multiple times without being asked. Not a passing complaint. A daily pain repeated out loud because it had nowhere else to go.

One pharmacist mentioned dispensing time multiple times without being asked. Not a passing complaint. A daily pain repeated out loud because it had nowhere else to go.

Repeated Verbal Signal

12

12

Pharmacist Observed

Pharmacist Observed

Pharmacist Observed

Live

Live

Working Hours

Working Hours

Working Hours

1

1

Major Hospital Observed

Major Hospital Observed

Major Hospital Observed

No Script

No Script

Pure Observation

Pure Observation

Pure Observation

Research gives you what people say.

Observation gives you what they stopped noticing.

Research gives you what people say. Observation gives you what they stopped noticing.

Research gives you what people say.

Observation gives you what they stopped noticing.

Key

Findings

Key Findings

Key

Findings

BREAKTHROUGH INSIGHT

BREAKTHROUGH INSIGHT

NOT TOLD . JUST FOUND

NOT TOLD . JUST FOUND

Nobody mentioned the substitute medicine problem. Because they had stopped seeing it as a problem.

Nobody mentioned the substitute medicine problem. Because they had stopped seeing it as a problem.

When a prescribed medicine was unavailable, pharmacists would quietly dispense an equivalent substitute. No record. No indication. Patients left with a different medicine than what was written on their prescription paper, and sometimes bought the original from outside, ending up with duplicates they didn't need. A patient safety issue hiding inside a workflow habit.

When a prescribed medicine was unavailable, pharmacists would quietly dispense an equivalent substitute. No record. No indication. Patients left with a different medicine than what was written on their prescription paper, and sometimes bought the original from outside, ending up with duplicates they didn't need. A patient safety issue hiding inside a workflow habit.

FINDING 1

Pharmacists were navigating from memory, not the system.

Pharmacists were navigating from memory, not the system.

No status visibility meant tracking pending and dispensed work was entirely a mental task.

No status visibility meant tracking pending and dispensed work was entirely a mental task.

FINDING 2

Two patient types. One broken path for both of them.

Two patient types. One broken path for both of them.

IPD and OPD workflows were fundamentally different in real life but identical in the system, forcing constant re-orientation.

FINDING 3

Partial dispensing happened daily. The system pretended it didn't.

Partial dispensing happened daily. The system pretended it didn't.

When stock ran short, pharmacists dispensed what they had. The remaining medicines had no pending status, no follow-up path, no record.

When stock ran short, pharmacists dispensed what they had. The remaining medicines had no pending status, no follow-up path, no record.

FINDING 4

Every dispensing started three decisions too late.

Every dispensing started three decisions too late.

Before reaching the actual task, pharmacists made mode-switching decisions that added clicks, added time, and added pressure to every single transaction.

Before designing for one hospital,

I needed to understand a hundred.

Before designing for one hospital,

I needed to understand a hundred.

Before designing for one hospital,

I needed to understand a hundred.

Secondary

Research

Secondary Research

Secondary

Research

The Question

How do dispensing workflows differ across scales of healthcare?

How do dispensing workflows differ across scales of healthcare?

Using Perplexity AI for secondary research, I studied dispensing patterns across large government hospitals, small private clinics, standalone pharmacies, and dispensing counters.


The goal was to find what was universal, not just what worked here.

Using Perplexity AI for secondary research, I studied dispensing patterns across large government hospitals, small private clinics, standalone pharmacies, and dispensing counters.


The goal was to find what was universal, not just what worked here.

What it confirmed

What it confirmed

The core friction was the same everywhere. Too many steps before the actual task.

The core friction was the same everywhere. Too many steps before the actual task.

What it unlocked

What it unlocked

A solution scalable from 3,000 patients a day to a single counter private pharmacy.

A solution scalable from 3,000 patients a day to a single counter private pharmacy.

Secondary research also surfaced the substitute medicine gap, a problem invisible at the counter but documented across multiple healthcare dispensing contexts globally.

Secondary research also surfaced the substitute medicine gap, a problem invisible at the counter but documented across multiple healthcare dispensing contexts globally.

Before touching Figma,

I set five rules I couldn't break.

Before touching Figma,

I set five rules I couldn't break.

Before touching Figma,

I set five rules I couldn't break.

Design

Principles

Design Principles

Design

Principles

01

01

01

Fewer clicks must equal faster dispensing.

Fewer clicks must equal faster dispensing.

Fewer clicks must equal faster dispensing.

Every interaction removed is seconds saved. Multiply that by 3,000 patients a day and the stakes become obvious.

Every interaction removed is seconds saved. Multiply that by 3,000 patients a day and the stakes become obvious.

02

02

02

Status must always be visible. Never assumed.

Status must always be visible. Never assumed.

Status must always be visible. Never assumed.

A pharmacist should never have to calculate what is pending. The system carries that load, not the person.

A pharmacist should never have to calculate what is pending. The system carries that load, not the person.

03

03

03

Reflect real workflows, not assumed ones.

Reflect real workflows, not assumed ones.

Reflect real workflows, not assumed ones.

IPD and OPD are different realities. The interface must reflect that without asking the pharmacist to make that call every single time.

IPD and OPD are different realities. The interface must reflect that without asking the pharmacist to make that call every single time.

04

04

04

Make hidden processes visible.

Make hidden processes visible.

Make hidden processes visible.

Substitute medicines, partial dispensing, unavailable stock. These were daily realities the system pretended did not exist. Every hidden process is a future error waiting to happen.

Substitute medicines, partial dispensing, unavailable stock. These were daily realities the system pretended did not exist. Every hidden process is a future error waiting to happen.

05

05

05

Design for scale from day one.

Design for scale from day one.

Design for scale from day one.

This solution had to work at a 3,000-patient government hospital and at a single-counter private pharmacy. Scalability was not a future concern. It was a day one constraint.

This solution had to work at a 3,000-patient government hospital and at a single-counter private pharmacy. Scalability was not a future concern. It was a day one constraint.

Three attempts at the truth.

Three attempts at the truth.

Three attempts at the truth.

Good design rarely arrives on the first try. Here is exactly how the thinking evolved.

Good design rarely arrives on the first try. Here is exactly how the thinking evolved.

Ideation and

Iteration

Ideation and

Iteration

Ideation and

Iteration

01

Fewer clicks must equal faster dispensing.

Fewer clicks must equal faster dispensing.

First attempt at removing the drawer entirely

First attempt at removing the drawer entirely

What I tried

Surface pending dispensing directly on the main page. Each patient row expandable via accordion showing items, batches, and quantities inline.

Surface pending dispensing directly on the main page. Each patient row expandable via accordion showing items, batches, and quantities inline.

WHy I Tried

The core friction was the same everywhere. Too many steps before Removing the drawer as the entry point meant fewer clicks before reaching the actual task.

The core friction was the same everywhere. Too many steps before Removing the drawer as the entry point meant fewer clicks before reaching the actual task.

The core friction was the same everywhere. Too many steps before Removing the drawer as the entry point meant fewer clicks before reaching the actual task.

What Worked

The concept of surfacing pending work upfront was validated. The right direction, wrong execution.

The concept of surfacing pending work upfront was validated. The right direction, wrong execution.

What Failed

Partial quantities, substitute items, and batch management inside an accordion became too complex. Dev flagged significant API constraints.

Partial quantities, substitute items, and batch management inside an accordion became too complex. Dev flagged significant API constraints.

What I Changed

Kept the concept of a pending-first view. Abandoned the accordion as the interaction model. Moved toward a list with a focused detail view.

Kept the concept of a pending-first view. Abandoned the accordion as the interaction model. Moved toward a list with a focused detail view.

02

Pending List with Drawer for Detail

Pending List with Drawer for Detail

Closer. But status was still invisible at the list level.

Closer. But status was still invisible at the list level.

What I tried

Pending list as main view. Clicking a patient row opens a drawer showing available items, unavailable items, and substitute selection.

Pending list as main view. Clicking a patient row opens a drawer showing available items, unavailable items, and substitute selection.

WHy I Tried

Solved the accordion complexity. Gave substitute medicine a proper documentation path. Pharmacist tested the prototype positively.

Solved the accordion complexity. Gave substitute medicine a proper documentation path. Pharmacist tested the prototype positively.

What Failed

Status was still invisible at the list level. Pharmacists had to open each row to understand workload. Not fast enough for a 3,000-patient environment.

Status was still invisible at the list level. Pharmacists had to open each row to understand workload. Not fast enough for a 3,000-patient environment.

What Worked

Pharmacist understood the flow immediately in prototype testing. Substitute medicine indication was well received by all stakeholders.

Pharmacist understood the flow immediately in prototype testing. Substitute medicine indication was well received by all stakeholders.

What I Changed

Status needed to be visible at the list level without opening anything. Moved to a tab-based status separation and inline quantity data.

Status needed to be visible at the list level without opening anything. Moved to a tab-based status separation and inline quantity data.

03

The Final System

The Final System

Status-first. Workflow-aware. Built for real-world chaos.

Status-first. Workflow-aware. Built for real-world chaos.

What I tried

Two Tabs: Pending, Dispensed. IPD and OPD tags with filters. Inline ordered, dispensed, and pending quantity. Substitute indication. Barcode scanning.

Two Tabs: Pending, Dispensed. IPD and OPD tags with filters. Inline ordered, dispensed, and pending quantity. Substitute indication. Barcode scanning.

WHy I Tried

Every failed iteration pointed to the same gap: pharmacists needed to assess their entire workload at a glance before touching a single patient record.

Every failed iteration pointed to the same gap: pharmacists needed to assess their entire workload at a glance before touching a single patient record.

What Worked

Pharmacists adapted within two days. Unprompted positive feedback. Dispensing time dropped from 4 minutes 2 seconds to 2 minutes 54 seconds (avg.). 30% faster.

Pharmacists adapted within two days. Unprompted positive feedback. Dispensing time dropped from 4 minutes 2 seconds to 2 minutes 54 seconds (avg.). 30% faster.

What Failed

Everything the previous iterations got right was kept. Everything that forced pharmacists to think instead of act was removed.

Everything the previous iterations got right was kept. Everything that forced pharmacists to think instead of act was removed.

Every failed iteration pointed to the same answer. Stop fighting the complexity and design around it. The result wasn't just a faster flow, it was a system that finally told the truth about what was happening at the counter.

Every failed iteration pointed to the same answer. Stop fighting the complexity and design around it. The result wasn't just a faster flow, it was a system that finally told the truth about what was happening at the counter.

The new flow. Fewer decisions.

Faster dispensing.

The new flow. Fewer decisions.

Faster dispensing.

The new flow. Fewer decisions.

Faster dispensing.

The Final

Flow

The Final Flow

The Final

Flow

Dispensing Page

Dispensing Page

Dispensing Page

Entry point for all flows

Entry point for all flows

Entry point for all flows

Path 01 - Dispensed Tab - Pending / Partial Patients

Path 01 - Dispensed Tab - Pending / Partial Patients

Path 01 - Dispensed Tab - Pending / Partial Patients

Select Patient from List

Select Patient from List

Select Patient from List

IPD / OPD tag visible

IPD / OPD tag visible

IPD / OPD tag visible

View Items

View Items

View Items

Ordered / Dispensed / Pending Qty.

Ordered / Dispensed / Pending Qty.

Ordered / Dispensed / Pending Qty.

Selection and Edit

Selection and Edit

Selection and Edit

Batch(Auto), qty (Auto), substitute if needed

Batch(Auto), qty (Auto), substitute if needed

Batch(Auto), qty (Auto), substitute if needed

Dispense and generate Invoice

Dispense and generate Invoice

Dispense and generate Invoice

Moves to Dispensed Tab

Moves to Dispensed Tab

Moves to Dispensed Tab

Path 02 - New or Unregistered Patient

Path 02 - New or Unregistered Patient

Path 02 - New or Unregistered Patient

Click "+" and Search Patient

Click "+" and Search Patient

Click "+" and Search Patient

UHID, name, or contact

UHID, name, or contact

UHID, name, or contact

Add Item, Edit, Delete

Add Item, Edit, Delete

Add Item, Edit, Delete

Batch auto-selected

Batch auto-selected

Batch auto-selected

Dispense and generate Invoice

Dispense and generate Invoice

Dispense and generate Invoice

Moves to Dispensed Tab

Moves to Dispensed Tab

Moves to Dispensed Tab

Path 03 - Dispensed Tab - View Completed Records

Path 03 - Dispensed Tab - View Completed Records

Path 03 - Dispensed Tab - View Completed Records

View Dispensed Patients

View Dispensed Patients

View Dispensed Patients

Fully dispensed and partial records with reasons

Fully dispensed and partial records with reasons

Fully dispensed and partial records with reasons

Select Record

Select Record

Select Record

Find the dispensing entry

Find the dispensing entry

Find the dispensing entry

Reprint Invoice

Reprint Invoice

Reprint Invoice

At any dispensing step —> Substitute Medicine

At any dispensing step —> Substitute Medicine

If a medicine is unavailable, the pharmacist can select a substitute, mark it against the original prescription, add a remark, and dispense. Fully documented. No confusion for the patient.

If a medicine is unavailable, the pharmacist can select a substitute, mark it against the original prescription, add a remark, and dispense. Fully documented. No confusion for the patient.

At any dispensing step —> NoN-Dispensing List

At any dispensing step —> NoN-Dispensing List

If a pharmacist cannot or should not dispense an item, whether due to zero stock, patient refusal, or any other reason, they can move it to Not Dispensing with a reason. The item can be moved back to the dispensing list if the situation changes. Every decision is documented, nothing disappears silently.

If a pharmacist cannot or should not dispense an item, whether due to zero stock, patient refusal, or any other reason, they can move it to Not Dispensing with a reason. The item can be moved back to the dispensing list if the situation changes. Every decision is documented, nothing disappears silently.

Not just a redesign. A system that finally worked like the counter did.

Not just a redesign. A system that finally worked like the counter did.

Not just a redesign. A system that finally worked like the counter did.

The Final

Solution

The Final Solution

The Final

Solution

A.

Two tabs. One simple question: is there work to do?

Two tabs. One simple question: is there work to do?

Pending shows everything that still needs action, fully pending and partially dispensed patients. Dispensed shows completed work, including partial dispensing with documented reasons for items not given. No mental tracking. No guesswork.

Pending shows everything that still needs action, fully pending and partially dispensed patients. Dispensed shows completed work, including partial dispensing with documented reasons for items not given. No mental tracking. No guesswork.

Clear Categorization

Clear Categorization

Patient Type Filter and Visibility in The List

Patient Type Filter and Visibility in The List

B.

IPD and OPD. Finally treated differently.

IPD and OPD. Finally treated differently.

Patient type tags and filters visible at the list level. No more mode switching decisions before every single dispensing. The system made the distinction so the pharmacist didn't have to.

Patient type tags and filters visible at the list level. No more mode switching decisions before every single dispensing. The system made the distinction so the pharmacist didn't have to.

OPD

IPD

C.

Partial doses. Substitutes. Now documented.

Partial doses. Substitutes. Now documented.

Ordered, dispensed, and pending quantities visible inline. Substitute medicine selection with indication and remark field. Daily realities the old system pretended didn't exist, now first-class features.

Ordered, dispensed, and pending quantities visible inline. Substitute medicine selection with indication and remark field. Daily realities the old system pretended didn't exist, now first-class features.

Ordered

Ordered

12

12

Dispensed

Dispensed

8

8

Pending

Pending

4

4

Ordered, dispensed, and pending quantities visible

Ordered, dispensed, and pending quantities visible

D.

Scan. Select. Substitute. Done.

Scan. Select. Substitute. Done.

Barcode scanner support added for medicine entry. No manual name typing. No search. Point, scan, and the item is in. During peak hours, every second saved per item compounds across hundreds of dispensing.

Substitute medicines are now documented and gives clarity to the patients, their families, pharmacists, and inventory management users.

Barcode scanner support added for medicine entry. No manual name typing. No search. Point, scan, and the item is in. During peak hours, every second saved per item compounds across hundreds of dispensing.

Substitute medicines are now documented and gives clarity to the patients, their families, pharmacists, and inventory management users.

E.

Nothing disappears silently.

Nothing disappears silently.

If a pharmacist cannot or should not dispense an item, whether due to zero stock, patient refusal, or any other reason, they move it to the Non-Dispensing list with a documented reason. The item can be moved back if the situation changes. Every decision has a record. Nothing is quietly dropped.

If a pharmacist cannot or should not dispense an item, whether due to zero stock, patient refusal, or any other reason, they move it to the Non-Dispensing list with a documented reason. The item can be moved back if the situation changes. Every decision has a record. Nothing is quietly dropped.

Item moved to Non-Dispensing with reason

Item moved to Non-Dispensing with reason

Zero stock/Patient refusal/Substituted/Other

Zero stock/Patient refusal/Substituted/Other

Reversible

Item moved back to dispensing list if situation changes

Item moved back to dispensing list if situation changes

Two pushbacks. One feature cut.

Here is how each decision was made.

Two pushbacks. One feature cut.

Here is how each decision was made.

Two pushbacks. One feature cut.

Here is how each decision was made.

Constraints and

Stakeholder

Management

Constraints and Stakeholder Management

Constraints and

Stakeholder

Management

01

01

Dev team said the API rework was too big.

Dev team said the API rework was too big.

Restructuring dispensing into status-separated tabs required significant backend changes. The team resisted. I escalated to the tech lead with the research evidence, timed observations, pharmacist frustration data, and the patient safety risk of the substitute medicine gap. The problem was real. They committed to the rework.

Restructuring dispensing into status-separated tabs required significant backend changes. The team resisted. I escalated to the tech lead with the research evidence, timed observations, pharmacist frustration data, and the patient safety risk of the substitute medicine gap. The problem was real. They committed to the rework.

Restructuring dispensing into status-separated tabs required significant backend changes. The team resisted. I escalated to the tech lead with the research evidence, timed observations, pharmacist frustration data, and the patient safety risk of the substitute medicine gap. The problem was real. They committed to the rework.

02

02

PM pushed back on the scope of change.

PM pushed back on the scope of change.

Changing the full dispensing structure mid-product raised concerns about stability and delivery timelines. Same approach. Evidence over opinion. The scope stayed. The timeline was adjusted.

Changing the full dispensing structure mid-product raised concerns about stability and delivery timelines. Same approach. Evidence over opinion. The scope stayed. The timeline was adjusted.

03

03

OTC dispensing was cut. Intentionally.

OTC dispensing was cut. Intentionally.

Government hospitals do not dispense over the counter. Including the feature would have added complexity with zero current value. It was documented and deferred to Phase 2 for private pharmacy deployments. Knowing what to cut is as important as knowing what to build.

Government hospitals do not dispense over the counter. Including the feature would have added complexity with zero current value. It was documented and deferred to Phase 2 for private pharmacy deployments. Knowing what to cut is as important as knowing what to build.

30% faster.

But that is not the whole story.

30% faster.

But that is not the whole story.

30% faster.

But that is not the whole story.

20 dispensings timed before and after. Averaged. Here is what changed.

20 dispensings timed before and after. Averaged. Here is what changed.

Impact

Impact

Impact

BEFORE

BEFORE

4:02 Approx.

4:02 Approx.

Minutes Per Dispensing (avg.)

Minutes Per Dispensing (avg.)

AFTER

AFTER

2:54 Approx.

2:54 Approx.

Minutes Per Dispensing (avg.)

Minutes Per Dispensing (avg.)

BEFORE

BEFORE

3K+ Approx.

3K+ Approx.

Daily Dispensing Per Major Hospital

Daily Dispensing Per Major Hospital

AFTER

AFTER

4K+ Approx.

4K+ Approx.

Daily Dispensing Per Major Hospital

Daily Dispensing Per Major Hospital

30% Approx.

30% Approx.

Faster Dispensing

Faster Dispensing

Measured using stopwatch timestamp observation. 20 dispensings recorded in each condition during live working hours. Times averaged. No simulations.

Measured using stopwatch timestamp observation. 20 dispensings recorded in each condition during live working hours. Times averaged. No simulations.

Substitute medicines are now documented. Partial dispensings have a paper trail. Patients leave knowing exactly what they received and why.

Substitute medicines are now documented. Partial dispensings have a paper trail. Patients leave knowing exactly what they received and why.

Learnings and Reflections

Learnings and Reflections

Learnings and Reflections

Users do not complain about what they have normalized.

Users do not complain about what they have normalized.

Nobody mentioned the substitute medicine problem because they had stopped seeing it as one. The most impactful design opportunities live in the gap between what users say and what they have accepted as unchangeable. Observation finds what interviews miss.

Nobody mentioned the substitute medicine problem because they had stopped seeing it as one. The most impactful design opportunities live in the gap between what users say and what they have accepted as unchangeable. Observation finds what interviews miss.

Evidence is the only language that moves teams.

Evidence is the only language that moves teams.

When dev and PM pushed back, opinion would not have worked. Timed observations, documented pain points, and a patient safety risk did. Design decisions defended with research are far harder to dismiss than ones defended with preference.

When dev and PM pushed back, opinion would not have worked. Timed observations, documented pain points, and a patient safety risk did. Design decisions defended with research are far harder to dismiss than ones defended with preference.

Resistance on day one is not failure. It is data.

Resistance on day one is not failure. It is data.

Pharmacists resisted the change on day one after a year on the old system. By day two they owned it. Users who trust a product enough to want it better have already accepted it as their own. That shift from resistance to ownership is the real measure of whether the design worked.

Pharmacists resisted the change on day one after a year on the old system. By day two they owned it. Users who trust a product enough to want it better have already accepted it as their own. That shift from resistance to ownership is the real measure of whether the design worked.

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