Isobel Baker
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Modernising medication management without breaking workflows

How a design system made an aged care medication system WCAG AA compliant, without changing the workflows nurses rely on. Client details are anonymised.

Year
2023
Duration
6 months
Role
Product Designer
Constraints
Core workflows and IA had to stay as they were
Result
WCAG AA compliance across the interface, and a component library engineering adopted
Laptop showing the redesigned medication management home screen, with tiles for medication reviews, reporting, doctor communications, vaccine rounds and more.

01 Background

When a confusing interface becomes a safety risk

Nurses using a Sydney-based medication management system faced low contrast, unclear icons and a help feature so hard to reach that staff called Customer Support on their personal phones.

The brief: modernise the interface without changing anything critical to daily use, because disrupting medication workflows is a patient safety risk.

What we heard

One doctor lost work mid-consultation, because a confirmation modal only said “Yes” and “No”.
So every label, button and prompt was rewritten to name the action and its consequence.
Original confirmation modal asking whether to cancel adding a new resident, with only Yes and No buttons.Redesigned modal titled Cancel Adding New Resident, with a warning icon, a note about losing unsaved changes, and buttons to continue editing or cancel and discard.
Drag to compare the original confirmation modal with the redesign, which names the action and what happens next.

02 Research

Talking to the people who live in this interface

I ran 30 semi-structured interviews with nurses, prescribers, pharmacists and support staff, plus a UI audit of contrast, colour-blind accessibility, icons and mobile. The same issues came up across every role:

  • Icons were unclear and inconsistent, and some had a gender bias, so staff relied on text and routine instead.
  • Text was too small and too cramped for bright wards and staff who wear glasses.
  • Colour-coded alerts were invisible to colour-blind staff.
  • Help was hard to find, and prescribers moving between patients had no mobile experience.

03 Design system

Building the foundation before touching a screen

Years of engineering-led decisions had left no shared standards, documentation or single source of truth. Every inconsistency on screen came back to that.

So I audited every screen, then built a type scale, a 4-point spacing scale, a WCAG AA colour palette, and a responsive Figma component library with every interaction state.

If removing colour compromises meaning, the design is incomplete. Every alert state now pairs colour with an icon and a text label, so colour-blind staff no longer miss critical alerts.

Component library samples: status badges in several colours and styles, tooltips, and success and error toasts.
Part of the component library, documented in Figma with usage guidance for engineers and PMs.
Resident table where each status badge pairs colour, an icon and a label: Urgent Review, Requiring Review and Reviewed.
The system applied: review status now reads without colour.

04 Testing

What testing showed me

I tested the redesign with staff at different experience levels. Newer staff found the new homepage clearer, while experienced staff noticed more issues and were more resistant to change.

#
What broke
What I changed
01

Dose round table cells felt too small

Easier to read overall, but a concern for staff who wear glasses.

  • Increased the cell size.
02

Patient detail pages felt too busy

Clearer and better spaced, but too much scrolling to reach key medical information.

  • Reworked the layout to fit more information above the fold.
Resident profile before testing: medical history, allergies and diagnosis in a long layout, with medication below the fold.Resident profile after testing: a compact header and status pill, with the medication table pulled above the fold.
The resident profile before and after testing, with medication pulled above the fold.

05 Outcome

What the redesign delivered

Engineering adopted the component library and UI kit, and reusable patterns replaced one-off decisions, so development sped up. New staff found their way without extensive onboarding, and support queries moved to proper channels instead of personal phones.

AA
WCAG compliance across the interface
30
interviews across clinical and support roles
4-point
spacing scale, the foundation for the mobile phase