A charting tool designed at the bedside, not in a conference room.

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 them addressed the actual bottleneck: the software assumed a seated user with two free hands.

Three weeks of shadowing across two wards. We timed every interaction and found that 61% of charting minutes went to navigation, not entry.

We designed a one-thumb capture mode with a persistent patient context bar, cut the vitals form from fourteen fields to six with smart defaults, and made every destructive action reversible for thirty seconds instead of confirming it up front.