Omnicell

Omnicell — Jacqueline Smith
Omnicell · 2020–2024

Designing for safety-critical
hardware-software
experiences

When a misread screen isn't a UX failure — it's a safety incident, every design decision carries weight. This is four years of that work.

Role Product Design Manager, Point of Care
Scope Hardware + kiosk + tablet + web
Team Led 4 designers within a 13-person org
Platform $1.3B · 3,000+ hospital partners · 2M users
Jacqueline's team at ASHP conference with Automated Dispensing Cabinet
Omnicell team at ASHP — the American Society of Health-System Pharmacists conference. The cabinet on the right is the Automated Dispensing Cabinet at the center of this work.
38%
Faster medication
removal workflow
9+
Minutes returned to patient
care per nurse per shift
4
Surfaces unified under
one design system
10yr
Hardware lifecycle —
every decision lives long
01 — Context

The device on every hospital floor.
The software nobody had redesigned in a decade.

Omnicell's Automated Dispensing Cabinets are the locked medication storage units found in every nursing unit of every hospital floor. A large hospital might have 40 of them. They operate like vending machines for controlled substances — every dispense, return, and restock is tracked. The software running these cabinets had been built for a specific device in a specific era, and for a long time that was enough.

When I joined as Product Design Manager for the Point of Care line, Omnicell was betting on the next decade: new hardware, new interaction models, a platform that could scale across dispensing cabinets, kiosks, tablets, and web simultaneously. I led that redesign from field research through shipping — and stayed close enough to the hardest problems to guide quality personally.

The work below is organized around three problems. Each one started as a design problem. Each one turned out to be a safety problem we solved through design.

The hardware constraint
A 10-year hardware lifecycle means every software decision I made would live inside this device for a long time. That's not a design sprint — it's a design system problem.
The user complexity
Three distinct user types — nurses, pharmacy technicians, and pharmacy managers — operated the same physical hardware with completely different needs. A failure in any one workflow rippled to everyone else.
The environment reality
Overhead fluorescent lighting, noise, physical display positioning, gloved hands, and users who are never fully stopped — the environment is a design input, not a constraint to solve after the fact.
02 — The Challenge

What made this hard

Most of the difficulty in this project wasn't visible in any single screen. It lived in the organizational and environmental gaps that nobody had named yet — the seam between hardware and software teams, the mismatch between how the system was designed to work and how people actually used it, the assumption that color alone could carry safety information in a clinical context.

I conducted on-site contextual inquiry in live hospital pharmacies: gowned up, standing next to clinical staff, watching how they actually used this hardware. Those observations drove every design decision that followed. We didn't come back from those site visits with a report. We came back with a system.

4
Teams, one device Industrial design, electrical engineering, and two scrum teams — with no shared kickoff and no single owner of the hardware-software seam.
3
Distinct user types Nurses, pharmacy technicians, and pharmacy managers — all operating the same physical device with fundamentally different goals and urgencies.
0
Shared kickoff sessions Hardware decisions with major UI implications had already been made before I was brought into the room. I became the person asking the questions nobody had asked.
03 — The Work

Three problems. Three safety incidents waiting to happen.

Each story below is a design problem that turned out to be a safety problem. Select one to go deeper into the research, decisions, and outcomes.

04 — Results

We didn't ship feelings.
We shipped time studies.

38%
Faster medication removal — from 77–99 seconds down to ~48 seconds per workflow
Legacy: 15 clicks · Redesign: 11 clicks
9 min
Returned to patient care, per nurse, per shift — without removing a single safety step
Based on 20+ removal workflows per shift

The efficiency came from eliminating friction in the parts of the workflow that weren't doing safety work — the extra clicks, the redundant screens, the interactions that existed because the system was designed around its own logic instead of the nurse's.

Faster and safer are not in tension here. When you design around how people actually work, in the environment they actually work in, you get both.

Additional outcome data — usability benchmarks, adoption metrics, and LASA error reduction — pending confirmation of shareable figures.
Jacqueline Smith · UX Design Leadership Work completed at Omnicell 2020–2024 · UI screens available on request