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Endoscopy Hub: Discovery & Ideation for Healthcare Workflow Efficiency

A McDonald's kitchen display sparked an idea: what if hospital technicians had a real-time Hub for endoscope reprocessing? Through shadowing, Crazy 8s workshops, and iterative wireframing, I designed a discovery-phase solution for STERIS.

Low-fidelity Sharpie wireframe sketch showing early Endoscopy Hub layout ideas.
Early Sharpie sketch laying the foundations of the Endoscopy Hub concept.

Summary (TL;DR)


The McDonald’s Moment

Sometimes, inspiration strikes in unexpected places.

On a lunch break at McDonald’s, waiting for my Quarter Pounder, I noticed the kitchen display system showing orders in progress. Simple, clear, actionable. Suddenly it clicked: this is what endoscopy technicians need. A real-time, glanceable “Hub” for managing complex, high-stakes workflows.

That lightbulb moment became the seed for the Endoscopy Hub - a project I began while designing at STERIS, a global leader in surgical instrument reprocessing.

McDonald’s kitchen display system showing order tracking interface, used as inspiration for Endoscopy Hub design.
Kitchen display systems, like those used at McDonald’s, inspired a glanceable, action-focused Hub design.

The Challenge: Inefficient Endoscopy Workflows

Technicians in hospitals face enormous pressure to manage the reprocessing and tracking of endoscopes. Existing systems were fragmented, requiring constant manual checks and slowing down workflows. Errors weren’t just inconvenient - they could impact patient safety.

This was a classic healthcare UX problem: technicians under pressure, systems too fragmented for true workflow efficiency.

But how could a complex medical workflow be simplified without losing critical detail?

Endoscopy technician operating an Endoscope Washer Disinfector (EWD) as part of reprocessing workflow.
A STERIS technician reprocessing an endoscope - a high-pressure workflow the Hub aimed to streamline.

The Research: Shadowing Technicians and Mapping Pain Points

To understand the reality on the ground, I:

The insights were clear: technicians needed clarity, prioritisation, and efficiency.

The next step was to explore what a solution could look like.

Hand-drawn brainstorm titled “What does a technician want to know?” with questions about priorities, backlog, scope status, machine usage, and workflow issues.
Brainstorm of technician questions and pain points, helping identify the information the Endoscopy Hub needed to surface at a glance.

The Ideas: From Hub Concept to Crazy 8s

The initial concept was a centralised Endoscopy Hub - a single interface where technicians could see everything at a glance.

To generate ideas, I facilitated remote brainstorming sessions using FigJam, including:

This produced a wide range of ideas, from priority task swimlanes to dynamic tiles that echoed real-world task management.

But where would the best inspiration come from?

Screenshot of Crazy 8s brainstorming board in FigJam showing multiple hand-drawn sketches of Endoscopy Hub layout ideas, with dot votes marking preferred concepts.
Crazy 8s exercise in FigJam: rapid sketches and dot voting generated a wide range of potential Hub features and layouts in just minutes.

The Inspiration: Kitchen Displays, GTD, and McDonald’s

That McDonald’s “a-ha” moment gave me a metaphor: treat technician workflows like kitchen orders. Clear, glanceable, and action-oriented.

I combined this with two other inspirations:

These influences shaped the wireframes into something both intuitive and efficient.

Trello screenshot illustrating GTD methodology, used to inspire prioritisation in Endoscopy Hub design.
Getting Things Done® principles inspired prioritisation columns (Now, Next, Soon) in the Hub wireframes.

The Designs: From Paper Sketches to Wireframes

I began with Sharpie sketches on dot grid paper to keep ideas fluid and fast. Early iterations explored:

I then moved into Whimsical to refine the wireframes digitally, creating layouts that balanced glanceability with depth of information.

I then moved into Whimsical to refine the wireframes digitally, creating layouts that balanced glanceability with depth of information. These wireframes established a clear direction for the next phase.


Discovery Phase Deliverables

This discovery phase equipped the STERIS team with:

The foundation was set for taking the Hub from concept to implementation.


Discovery Phase Impact

During the Endoscopy Hub discovery phase, I delivered:


The Natural Next Steps

The logical progression from discovery to implementation would include:


Conclusion: Discovery Anywhere, Impact Everywhere

The Endoscopy Hub demonstrates how user-centred discovery can be applied to healthcare workflows just as effectively as in ecommerce or insurance.

This project proved that inspiration can come from anywhere—a McDonald's display, a productivity framework, or a shadowing session in a busy hospital. The key is connecting those dots into solutions that reduce complexity, empower users, and create measurable impact.

Innovate, don’t imitate. Even in healthcare.

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