Why clinical software fails (and how to fix it)

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The case for putting clinicians and practice staff at the centre of design

By Estelle Williams, Clinical Specialist at DXS

Clinical software often fails when it’s designed without those who use it most – clinicians. Systems that appear sound on paper can disrupt workflows, reduce adoption, and introduce safety risks.

Clinical software realities

  • Software that works in theory, fails in practice: Technical teams build systems that disrupt clinical workflows rather than enhance them.
  • Poor software adoption and workarounds: Clinicians quickly abandon systems that don’t serve their daily reality, creating safety risks.
  • Neglecting the human element: A narrow focus on functionality and compliance alone, fails to reflect the everyday needs and behaviours of clinicians.

The key to overcoming the challenges is user-centred design, where clinicians are active partners in development.

Clinicians as co-designers

  • Real-world testing: Prototypes are tested in live clinical environments, not conference rooms.
  • Continuous feedback loops: Regular input from NHS frontline staff, consultants, and support teams is received throughout development.
  • Workflow integration: Solutions enhance existing processes rather than replacing familiar workflows.
  • Iterative refinement: Systems evolve based on actual usage patterns and clinical feedback.

Involving clinicians from the start delivers tangible benefits that go beyond traditional software development methods and leads to better, safer, and more trusted clinical systems.

Why it works

  • Enhanced regulatory compliance: Clinicians identify safety issues before production, exceeding regulatory requirements.
  • Built-in clinical utility: Systems meet the higher standard of practical clinical value.
  • Natural advocacy: When clinicians shape the product, they become champions rather than reluctant users.
  • Trust through transparency: Visible feedback integration builds confidence in the technology.

Clinical software should support care, not complicate it. By placing clinicians at the centre of design, we create tools that are safe, effective, and truly fit for purpose.

If you’re looking for clinical software that truly works for your teams, get in touch at hello@dxs-systems.co.uk  to find out how we can help.

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