Topic
Ward Workflow
Rounds, admission days, handover — what the ward actually looks like for a doctor holding 20+ patients in a shift, and how a workspace can keep up.
9 posts
- 24 June 2026 · Medows · Alapan Mondal · Founder, Medows3 min

Why we built Medows as a workspace, not an EHR
Most clinical AI products land in the EHR. We didn't. Here's why the doctor on rounds needs a workspace of their own, and what we learned building one alongside residents at AIIMS Bhubaneswar and RG Kar.
- 12 June 2026 · Medows · Alapan Mondal · Founder, Medows2 min

The Eighteen-Minute Handover
Forty seconds per patient is enough for the urgent thing. Everything else gets dropped. What it means to design a handover that respects that math.
- 6 May 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal2 min


The CCF Case Nobody Escalated
A 62-year-old man in decompensated CCF by 10 p.m. The 6 p.m. obs were the inflection point. Nobody saw them as a slope.
- 22 April 2026 · Medows · Alapan Mondal · Founder, Medows1 min

What Changed When We Standardised Handover
I-PASS cut preventable adverse events by 30%. The follow-up showed adherence to the bundle decayed by year-end. What that tells us about tool design.
- 14 March 2026 · Medows · Alapan Mondal · Founder, Medows2 min

The Morning Round in 90 Minutes
90 minutes on paper. 1.8 minutes per patient in practice. What that actually means for the round you think you're doing.
- 5 February 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal2 min


The DKA That Survived Because of One Note
A 45-year-old man, DKA, an 11 p.m. ABG, and a handover line that meant the receiving doctor caught a worsening at 3 a.m. instead of 8.
- 25 November 2025 · Medows · Alapan Mondal · Founder, Medows2 min

Why We Still Hand Over on Paper
The largest published reduction in preventable adverse events in residency literature came from a structured handover. Most of us still do it on a folded sheet.
- 12 November 2025 · Medows · Alapan Mondal · Founder, Medows2 min

The Twenty-Eight Patient List Problem
Miller's 1956 paper put working memory at 7 ± 2 items. The average Indian PGT carries 28 on their ward list. What that gap actually costs.
- 15 October 2025 · Medows · Alapan Mondal · Founder, Medows2 min

The Interrupted Shift
A K+ of 5.9 that should have been caught at the bedside, the 9-minute interruption interval published in 2010, and why every ward tool we have assumes the doctor's working memory is intact.