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Cerner · Pharmacy Medication Manager

Dosage Calculator

Transforming a complex clinical calculation into a clear, confidence-inspiring workflow — without removing the clinical depth behind it.

Business goal

Improve usability · address customer complaints

My role

Design leader · concept to finish

Design shift

Dense calculation → clear clinical hierarchy

Evidence

Usability score 6.3 → 8.9

Dosage Calculator case study cover.

01 · Business problem

Customers were struggling with a safety-critical calculation.

The Dosage Calculator held the right clinical information, but without clear hierarchy. Important values competed for attention, and customer complaints made the need for a fundamental improvement clear.

02 · Who it serves

Three clinical roles, one shared number.

Pharmacist

“I validate every number before it reaches the patient.”

Needs: the calculation basis, adjustments and rounding visible in one place.

Oncologist

“Small errors in BSA-based doses carry big consequences.”

Needs: patient parameters and dosing weight clearly tied to the final dose.

Nurse

“At the bedside I need to confirm, not decode.”

Needs: a final dose that is unmistakable, with the reasoning one glance away.

03 · Design challenge

Simplify the experience, not the clinical complexity.

Clinicians move through medication, patient parameters (weight, height, BSA), calculation basis, calculated dose, adjustments and rounding before applying a dose. Each step needed to be understood — not just the final number.

Goal

Better usability · fewer complaints

Friction

Information overload · weak hierarchy

Design

Structure that follows clinical reasoning

Outcome

Usability score 6.3 → 8.9

04 · Key decisions

Three principles guided the redesign.

01

Simplify without losing clinical depth

Keep every clinical input, but group it into patient context, dosing parameters and additional information.

02

Prioritise what matters

Give target dose, calculated dose and final dose a clear visual distinction from supporting data.

03

Make interactions intuitive

One coherent flow from calculate to apply, with adjustments, rounding and reasons beside the result.

05 · Ambiguity to clarity

How I navigated stakeholder friction.

Friction

Clinical depth versus simplicity — every field felt essential to someone.

How I navigated it

Grouped information by the order clinicians actually reason: patient, parameters, calculation, final dose.

Clarity

Nothing clinical removed; far less competing for attention.

Friction

A visual refresh was expected; customer complaints pointed to deeper workflow issues.

How I navigated it

Reframed the work as an experience redesign, grounded in complaint themes and usability findings.

Clarity

Agreement to rethink hierarchy and flow, not just styling.

Friction

Design ambition versus engineering and legacy constraints.

How I navigated it

Reviewed solutions with product and engineering early and kept patterns consistent with the platform.

Clarity

A redesign the team could build and ship.

06 · Product evidence

Before and after.

The legacy screens presented values as long, undifferentiated lists. The redesign follows the order clinicians reason in, and keeps the final dose unmistakable.

Legacy Dosage Calculator screen with dense, ungrouped fields.
Before · dense fields with no clear hierarchy.
Legacy Dosage Calculator numbered dose values and reference data list.
Before · dose values and reference data as one long list.
Redesigned Dose Calculator with patient banner, dosing parameters and a dedicated dosage calculations panel.
After · patient banner, grouped dosing parameters, and a dedicated panel for calculation, adjustment, rounding and applying the dose.

07 · Outcome and evidence

A measurable lift in usability.

Evaluated through customer feedback and usability assessments. The Software Usability Score is a composite mean across accessibility, satisfaction, patient safety, usability & design, and modernization (effectiveness).

Evidence

6.3 → 8.9

Software Usability Score (composite mean)

Evidence

+2.6

Point improvement

Evidence

5

Dimensions, including patient safety

Evidence

3

Clinical roles served

08 · Leadership takeaway

Complexity is inherent. Poor usability isn’t.

“Complexity is inherent to healthcare. Poor usability doesn’t have to be.”