Hospital Digitalization / Nurse Workflow

Digitizing Bedside Nursing Workflows

A mobile-first bedside system designed to reduce manual tracking, improve patient-medication traceability, and bring nursing activity into real-time operational visibility.

Environment

Large Hospital Floors

Devices

100+ Handheld Units

Usage

~4 Years in Operation

Reserved image area for bedside workflow UI, device photography, or hospital system diagrams.

At a Glance

This project replaced delayed manual reporting with bedside capture, allowing nurses to record medications and materials in real time and giving hospital teams a more reliable operational picture.

Environment Large hospital floors
Devices 100+ handheld units
Operational Use Approximately 4 years

The Problem

Manual tracking created a lag between bedside care and system visibility.

In large hospital environments, nurses are responsible for administering medications and consumables while managing multiple tasks under time pressure. In this case, medication and material tracking was handled through a fully manual process.

  • Nurses carried used or remaining items during their shift.
  • Items were later delivered to a charge desk on each floor.
  • A separate staff member manually recorded the transactions.

This introduced operational and clinical issues: items could be forgotten or lost before being recorded, some materials were never charged properly, nurse activity was not systematically captured, and there was no reliable real-time confirmation of patient-medication matching.

Because usage was recorded after the fact, stock levels in the system often diverged from actual consumption. Supplies could appear available digitally while already depleted on the floor, causing delays in care and downstream inefficiencies.

Our Approach

We started with workflow observation, not with a predetermined device choice.

We worked closely with hospital IT teams, nursing leadership, and frontline staff, observing how nurses actually performed bedside tasks in daily operations. The initial goal was to understand where delays, handoffs, and friction were occurring before proposing a technical solution.

An early tablet-based concept was evaluated but rejected. It was not practical in a fast-paced clinical environment because portability was limited and camera-based barcode scanning slowed down interaction.

Design Direction

  • Lightweight handheld devices
  • Dedicated barcode scanning hardware
  • Real-time interaction at the point of care

The goal was to eliminate manual follow-up steps and let nurses complete the full workflow during the patient visit.

The Solution

A mobile bedside system that captured actions when care happened.

We developed a mobile-first system used directly at the bedside. The workflow moved identification, recording, and system updates into the moment of care rather than leaving them for later manual follow-up.

Core Capabilities

  • Barcode-based identification of patients, medications, and materials
  • Real-time recording of medications and material usage
  • Automatic patient detection through iBeacon proximity support
  • Custom integration with hospital systems for instant updates

Workflow Change

  • Nurses could identify patients instantly
  • Medication and consumable usage was recorded in real time
  • Workflows could be completed without leaving the patient room

This removed the dependency on manual reporting and centralized charge desks.

Impact

The system made bedside execution more reliable and inventory data more trustworthy.

Results

  • Reduced reliance on manual processes and handoffs
  • Improved traceability of nursing activities
  • Enabled real-time visibility into medication and material usage
  • Reduced inconsistencies between physical inventory and system data
  • Allowed inventory teams to respond more quickly to low stock situations

Deployment and Usage

  • Deployed across multiple hospital floors
  • Used with over 100 handheld devices
  • Actively used in clinical operations for approximately 4 years

By moving data entry to the point of care, the system aligned operational records much more closely with real-world clinical actions.

Confidentiality Note

Due to confidentiality agreements, the name of the healthcare institution where this system was developed and deployed cannot be disclosed.

The system was implemented in a large-scale hospital environment and used in daily clinical operations over an extended period.