Sitewide design/UX review ledger + design-review subagent

[BigSimmo]

Summary

• Fix cross-mode search performance findings: prescribing catalogue debounce/abort/fields=index, differentials abort/debounce, universal documents typeahead soft-timeout (750ms), shared (search-app) shell to avoid composer remount, and Answer rate-limit in-memory fallback outside production.
• Fix Bugbot regressions: shared-shell pathname navigation (/services → /dsm) syncs searchMode during render (no stale-mode paint) even when the query string is unchanged; extracted ClinicalDashboard lazy imports to stay under the maintainability budget.

RAG impact: no retrieval behaviour change — typeahead documents domain timeout and shell URL sync only; ranking formulas and full /api/search retrieval path unchanged.

Verification

• npm run verify:pr-local — focused Vitest on touched sources (362) plus api-rate-limit / search-shell / universal / route / site-map suites green; docs:check-index OK
• UI verification not run: full verify:ui not required for this pass; mode-home smoke via npm run ensure returned HTTP 200 for /, /services, /dsm, /documents/search, /therapy-compass, /?mode=prescribing, and /api/answer/stream returned 200 after the rate-limit fallback fix
• Verification not run: eval:retrieval:latency / soak / live OpenAI canary — approval-gated provider work; not needed for timeout-only typeahead change

Risk and rollout

• Risk: medium — shared layout remount change and rate-limit fallback behaviour in non-production; production Answer/upload still fail closed when the durable limiter is unavailable
• Rollback: revert this PR; mode routes return to per-segment GlobalSearchShell layouts and prior timeout/fallback behaviour
• Provider or production effects: None

Clinical Governance Preflight

• Source-backed claims still require linked source verification before clinical use
• No patient-identifiable document workflow was introduced or expanded without explicit governance approval
• Supabase target remains [REDACTED] ([REDACTED])
• Service-role keys and private document access remain server-only
• Demo/synthetic content remains clearly separated from real clinical sources
• Source metadata, review status, and outdated/unknown-source behavior remain conservative
• Deployment classification/TGA SaMD impact was checked when clinical decision-support behavior changed

Notes

• Prescribing list rows keep the full catalogue payload so Safety/Monitoring filters and patient alerts still see section-derived signals; keystroke storms are controlled by debounce + abort. fields=index remains for identity-only consumers (cross-mode links).
• Live hybrid RPC cold tails remain a separate approval-gated follow-up.

[supabase]

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Reviewing files that changed from the base of the PR and between 4eda2e0 and 6d84d04.

📒 Files selected for processing (2)

• .cursor/agents/design-review.md
• docs/branch-review-ledger.md

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• Create PR with unit tests
• Commit unit tests in branch cursor/sitewide-design-review-a3db

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