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Life Healthcare

A shared multi-touch ward census screen that replaced the nurses' station whiteboard, built to carry the same board onto glass without asking staff to relearn how they worked.

Client
Life Healthcare
www.lifehealthcare.co.za
Sector
Healthcare · hospital ward management
Origin's role
Contextual research, UX & UI design, interaction design for a shared multi-touch display
  • Contextual inquiry
  • Stakeholder interviews
  • Ward workflow mapping
  • Wireframing
  • Multi-touch interaction design
  • UI design
  • Access & permissions design
  • Prototyping

The challenge

A Life Healthcare ward runs on the same basic instrument regardless of hospital: a whiteboard at the nurses' station, marked up in pen, listing every patient by room and bed, who is attending them, and anything the next shift needs to know. On a busy general ward that board is rewritten dozens of times a day, patients admitted, moved to another ward, sent to theatre, discharged, and the beds they leave behind blocked for cleaning or freed for the next admission.

Life Healthcare asked Origin to design a digital ward census screen, a shared multi-touch display mounted at the nurses' station, that could do everything the whiteboard did and do it live. The stated brief was straightforward: put the board on a screen. The harder requirement, less explicit but non-negotiable, was that it had to work the way the whiteboard worked. Nobody logs in to write on a whiteboard, several people update it in the course of a shift, and anyone walking past can read it without asking permission.

A staff member gowning up in theatre, cap and gloves on, beside a blank whiteboard. Staff in the ante room outside theatre, one gowned in blue, talking beside the shelving. A red box labelled Surgeons' Preference Cards beside handwritten instrument lists on a stainless steel trolley. A staff member holding a patient chart in front of a locked medicine cabinet, talking to a colleague. A whiteboard headed Consignment Sets to Check Mondays, covered in handwritten stock lists and a roster grid. A whiteboard filled with handwritten patient and handover notes across several columns. Wall-mounted wooden racks of labelled paper slots, each holding a stack of handwritten cards. A nurse and a clinician reviewing a folder of documentation together at a patient's bedside.
Time in the wards and in theatre, watching how staff tracked work on paper before any screen.

Our approach & thinking

Before drawing a single screen, Origin spent time in Life Healthcare hospitals watching how staff actually ran a ward and a theatre floor: sitting with nurses at the medicine cabinet, in theatre stores, and beside the whiteboards, clipboards and index card boxes that already carried the operational memory of the place. Surgeons' preferences lived in a box of handwritten cards. Sterilisation cycles were logged on a paper form clipped to the autoclave. The theatre list for the day was rewritten by hand as patients moved and emergencies came in. None of that was inefficiency to be designed away. It was evidence of what a shared, walk-up display actually needed to be: legible at a glance, editable by more than one person, and trusted enough that staff would use it instead of falling back to a marker and a laminated board.

That research reframed the brief. A screen with individual logins would have broken the thing that made a whiteboard work, its openness, so the design instead treated the display as a public surface with a short clinician access code gating only the actions that mattered: moving a patient, blocking a bed, discharging someone, while the ward's status stayed visible to anyone who looked.

Wireframe of the ward overview grid: every room and bed laid out, with the Allocate to Ward/Out list and the Inbound list at the right. Wireframe of a ward with beds in progress: room occupancy figures above each room, with one patient card highlighted. Wireframe of a ward mid comparison, with neighbouring rooms scrolled into view and a transfer flagged in red.
Wireframes tested the ward overview grid as occupancy, alerts and transfers changed.

A resting state anyone can read: the screen defaults to a plain list of patients by room and bed, exactly what the paper whiteboard showed, before any access code is entered.

A PIN, not a login: a short clinician access code unlocks the actions that change patient data, without asking a shared screen to remember who is standing in front of it.

Real vacancy counts, not estimates: moving a patient opens a list of wards with their actual bed counts, so the decision is made against real information rather than someone's memory of who has space.

Confirm before it happens: every move, block or discharge asks for a plain-language confirmation naming the patient and the action, a guard against the wrong tap on a screen several people share.

What we shipped

The result is a ward census screen mounted at the nurses' station: a room and bed grid, colour coded for status, alerts and vacancies, an Accept Patient queue for admissions and transfers on their way in, and an In Transit and Returning panel tracking patients out at radiology, theatre or another department. Moving a patient opens the list of wards they could go to, each with its own vacancy count, and confirms the move by name before it happens. Blocking a bed, for cleaning or infection control, works the same way. Tapping any bed opens the patient behind it, their acuity, allergies, special instructions and recent attendance, everything a nurse needs before they act, without leaving the ward view for a separate system.

Outcome & value

The ward census screen was built and installed at Life Healthcare's nurses' stations as a shared display, carrying the ward's live status where every earlier version, a whiteboard or a laminated sheet, had needed someone to walk over and read it or update it by hand.

For nursing staff, the value was continuity. Nothing about the way they already worked, reading the board at a glance, updating it as things changed, more than one person touching it through a shift, had to be relearned, only the mechanism changed. For Life Healthcare, replacing the paper board with a live screen meant the ward's status was accurate as of the last update rather than the last time someone remembered to rub something out. Had the project stopped at a literal screen version of the whiteboard, built with individual logins and a single-user interface, the board would likely have gone unused, and the paper version, however out of date, would have stayed the one staff actually trusted.

In summary

Research inside the ward, not about ittime spent with nurses at the medicine cabinet and in theatre stores showed what a shared display actually had to preserve
Carry the paper board's logic onto glassthe same list, the same grid, the same at a glance reading, so nothing had to be relearned
Security fit for a shared surfacea short access code for actions that matter, not a login for a screen several people use through a shift

Next steps

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