AI-assisted triage that speeds decisions without taking control away from nurses.

health-Tech · AI-assisted workflow · Safety-critical UX

Full app working

Problem

Classical hematology referrals range from benign abnormalities to early signs of malignancy. Triage nurses and hematologists must review fragmented referral notes, labs, and messages to decide urgency and disposition—often under tight capacity constraints.

Delays and inconsistencies in triage directly affect patient safety, access to care, and clinician workload.

Why it happens

Clinical data is fragmented

Labs, imaging, notes, and messages live across multiple EHR modules.

The cost of errors is uneven

Over-triage wastes limited clinic capacity. Under-triage risks patient harm.

AI trust is fragile

Black-box recommendations are unusable without clear reasoning and provenance.

The Goal

Design a triage assistant that standardizes the first pass of hematology referrals while preserving clinician judgment.

The system needed to reduce time to safe decision, improve consistency, and make AI reasoning transparent, auditable, and easy to override.

Users & their needs

Triage Nurse - Primary User

Pain: Manual review of referrals is slow and fragmented. Labs, referral notes, imaging, and messages are scattered across multiple EHR modules, increasing cognitive load and making prioritization difficult.

Consequence: High-risk referrals can be delayed, while low-acuity cases may consume unnecessary clinic time. Inconsistencies in triage decisions increase workload and safety risk.

Need: A calm, unified triage workspace that surfaces the most relevant data first, enforces required information, and provides explainable AI support without removing clinical control.

Doctors - Secondary Users

Pain: Referrals often arrive with incomplete or poorly organized information, requiring time-consuming clarification and re-review.

Consequence: Delays in identifying which patients require urgent face-to-face care versus those suitable for electronic consultation.

Need: Clear triage logic, visibility into how decisions were made, and confidence that high-risk cases are escalated appropriately while routine cases are handled efficiently.

Constraints & roadblocks

1

Safety and regulatory constraints: Clinical workflows operate under strict safety, privacy, and audit requirements.

Impact

AI could not act autonomously

Every action needed to be traceable and reviewable

Free-form data entry had to be limited

Design Decicions

  • Over-triage wastes limited clinic Read-only data sourcing from the EHR

  • Visible provenance, timestamps, and activity logs

  • AI outputs treated as drafts, never decisions.

2

Trust barriers around AI in clinical care: Clinicians are skeptical of AI that feels opaque or authoritative.

Impact

Black-box recommendations would be rejected outright

Overconfident language increased perceived risk

Design Decicions

  • Explicit explanation panels instead of hidden logic

  • Neutral, suggestive language in AI outputs

  • Clear visual separation between AI content and clinician decisions

3

Fragmented and inconsistent data: Referral data varies widely in completeness, structure, and quality.

Impact

Many referrals arrive missing critical labs or documentation

AI accuracy degrades with incomplete inputs

Design Decicions

  • Required data checklist.

  • High-impact actions gated until essentials were present.

  • Timeline and summary cards prioritized recency and relevance.

4

Cognitive load in high-volume triage: Triage nurses manage many referrals under time pressure, often on small screens.

Impact

Dense interfaces slowed decision-making

Important signals were easy to miss

Design Decicions

  • Calm visual hierarchy with limited color use.

  • Progressive disclosure for trends and draft notes.

  • Scan-first layouts, optimized for quick judgment.

Design solution


An integrated, nurse-first triage workspace that brings referrals, clinical data, and AI support into a single, explainable workflow.

Overall Design Decisions

Human-in-the-loop design
AI assists decision-making without replacing clinical responsibility.

Explainability built in
Every recommendation links to specific labs, referral text, and timestamps.

Safety is enforced, not suggested
Required data checklists gate high-impact triage actions.

Overrides are expected
Every recommendation links to specific labs, referral text, and timestamps.

Designed for real workflows
Built to mirror how triage actually happens in a medical center.

Feature 1 - For triage nurse

Triage dashboard

Workload overview with urgency cues, filters, and recent activity for fast re-entry.

fig 1.0 : Roadblocks addressed - 2, 3.

My key contribution here was pushing the conversation beyond the surface level. In

brainstorms, I helped the team design a simple workflow while accommodating key features needed for a nurse to make decisions.

Feature 2 - For triage nurse

Unified patient workspace

Labs, imaging, documents, and clinical timeline in one place with minimal cognitive load

fig 1.1 : Roadblocks addressed - 2, 3.

Feature 3 - For triage nurse

Privacy mode

Clear reasoning, source links, and an editable draft triage note.

fig 1.2 : Roadblocks addressed - 2, 3.

Feature 4 - For triage nurse

Gated Decision flow

Disposition options with required data checks and structured override pathways.

fig 1.3 : Roadblocks addressed - 2, 3.

Feature - For Doctors

Centralized the Referral Chaos

Nothing is hidden. Nothing is duplicated. No tab gymnastics.

fig 1.4 : Roadblocks addressed - 2, 3.

Before: Doctors hunt across systems to understand one referral.
Now: Each referral opens into a single workspace that brings together:

Referral note

Relevant labs and trends

Documents and attachments

Clinical timeline

Impact

The system demonstrates how AI can be safely embedded into clinical workflows by:

Reducing triage time without sacrificing judgment.

Increasing consistency across referrals

Improving trust through transparency and provenance

It moves AI from an experimental layer to a practical clinical assistant.

Whats next

The system demonstrates how AI can be safely embedded into clinical workflows by:

Reducing triage time without sacrificing judgment.

Increasing consistency across referrals

Improving trust through transparency and provenance

It moves AI from an experimental layer to a practical clinical assistant.

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