

Designing a better onboarding experience for an AI symptom checker at clinics
Enabling doctors to spend less time on paperwork and more on patient care.
D4V is a Tokyo-based early stage Venture Capital in partnership with IDEO. Two years ago, D4V invested in healthcare startup Ubie, which develops a service called AI Monshin Ubie. The digital service was created with the goal of reducing the burden on healthcare professionals working long hours, under harsh conditions. AI Monshin Ubie automates a number of patient registration and documentation processes through digital tools, enabling doctors to spend less of their time on manual paperwork, and to dedicate their valuable skills and attention to the patients themselves. Currently, the service is installed in 200 medical institutions in 41 prefectures across Japan.
With AI Monshin Ubie, patients fill out preliminary forms on a tablet, rather than paper, entering information about their health history and current symptoms directly into their digital medical record. As patients fill out the questionnaire, the Ubie AI generates questions in real-time according to patients’ responses, which results in more appropriate and accurate data. The patient’s responses are automatically formatted for the doctor to review prior to and during the consultation. As a result, doctor consultation times and facility operation times are drastically reduced.
With the Coronavirus raising fears of a possible health system breakdown, Ubie has made improvements to anticipate and possibly prevent in-hospital infections. Until recently, Ubie’s services have been primarily used by large hospitals; but in light of the global health crisis, Ubie approached D4V—who partners with IDEO—to help rethink the onboarding experience and quickly facilitate the introduction of AI Monshin Ubie in regional clinics across Japan. D4V and IDEO have been working with Ubie for many years to collaborate in various areas, including UX, rebranding, international research, and more. Therefore, they had a foundation of knowledge from which to build these new features.
Typically, AI Monshin Ubie has been introduced to new hospital clients through direct, in-depth instructional visits from Ubie sales staff. This approach has worked well for rolling out the product to Japan’s 8,000 large hospitals; but for the 100,000 smaller clinics, Ubie needed a more efficient onboarding method to enable staff to get set up smoothly and independently.
During research, D4V and IDEO team members engaged with many different clinic staff members, including full-time doctors, part-time doctors, nurses and receptionists. The researchers found that staff tend to react skeptically to new tools and services, with a common preconception that they will add to their workload. One clinic director’s first impression of AI Monshin Ubie was, “It looks complicated.” But once he actually used the service, he realized that it was very user-friendly.
The team quickly understood that it was important to remove preconceptions by clearly communicating Ubie’s benefits and ease of use. They created a two-minute animation and designed three separate guidebooks. The animation adopted a friendly tone and expressed empathy for doctors, staff members and patients, highlighting how Ubie can bring benefits to each of them. The animation showed how Ubie fits into the existing workflow and explained complex systems in a straightforward and accessible way.
WATCH: A short video clip explains the benefit of their product and service to avoid the users’ concerns in advance.
The guidebook for doctors and directors explains how Ubie’s AI smooths the patient consultation experience and greatly improves the quality of medical care. It also introduces concrete how-tos around set-up, implementation, and ideal workflow. FAQs were also included, addressing concerns about whether or not elderly people would be able to use it.
Ubie business development leader Kenji Yamada says, “D4V and IDEO have a deep understanding not only of design, but of our entire business. They provide inspiration by bringing experience and knowledge that comes from working with other industries and clients outside of healthcare. We appreciate that they can share the knowledge that they’ve obtained with our business.”


Read the Japanese-language version of the Ubie case study here.
When You Feel Unwell, Ask Ubie: Check your symptoms for free
Learn more about Ubie: Global Company Website


An improved airway intubation system that helps physicians save more lives
The GlideScope Core offers elevated visibility and a seamless workflow for intubation, allowing doctors to better conduct routine procedures and respond to health crises.
In the emergency room, an intervention that’s administered too slowly could cost a patient their life. With COVID-19 fueling a surge in acute respiratory conditions, intubation—a procedure that involves inserting a tube through the mouth or nose and into the airway—is more common than ever. For patients struggling to breathe, the tube can be connected to a ventilator that pumps oxygen to the lungs, keeping them alive.
While a laser-focus on the present is critical for successful patient outcomes, hospitals and physicians often don’t have time to look ahead and anticipate the future of the operating room experience. As technology rapidly improves, there is a ripe opportunity and pressing need to evolve medical equipment to be more innovative and intuitive. Verathon Medical, a global medical device manufacturer, is supporting health care providers at the cutting-edge of care.
Verathon approached IDEO to redesign the existing product system for laryngoscopies and bronchoscopies—procedures that examine parts of the throat through intubation. During these examinations, a tube with a camera embedded in the tip is inserted through the patient’s nose or mouth. The doctor can then see inside the throat on a video monitor, and therefore more easily and quickly intubate and perform the exam.
To create a groundbreaking device, the team observed over a dozen laryngoscopies, bronchoscopies, and intubations. They noticed that many anesthesiologists relied on fixed equipment during the procedures. For example, some had grown accustomed to looking over their shoulder—away from the patient—to view the monitor.
During interviews, physicians and residents expressed difficulties with the current technology, sharing that the small screens aren’t conducive to team viewing or student instruction, and they must often use a separate computer to record patient notes. Others reported frustrating workflows, needing to constantly divert their attention and move their hands between the patient, prep tray, monitor, sterile bin, and disposal bin. These inconveniences and inefficiencies are not only cumbersome, but can increase the risk of infection and fatality.
The team relied on these insights to start designing a next-generation product. Through sketching, storyboarding, and building in real-time alongside doctors and clinic staff, designers quickly teased out additional findings and validated concepts.
This work led to the creation of the GlideScope Core: an all-in-one, portable product system that supports both video laryngoscopies and bronchoscopies. The base of the device—a wheeled cart—has built-in storage units for tools and a disposal bin, offering more mobility and accessibility for medical professionals.

The product’s tagline, “see more, do more,” points to the improvements made to the video system, including a large 10- or 15-inch high-definition touch screen monitor. Displayed images can be enlarged and rotated 180 degrees for improved visualization, team viewing, resident training, and classroom demonstration. To help doctors keep both the patient and monitor in their line of sight, the detachable screen can be secured to an adjustable arm that can be positioned directly over the patient. Additionally, the monitor’s patient annotation feature gives staff access to more of what they need in one device.
The product has been especially valuable for providers and patients during the coronavirus pandemic, when it’s imperative for doctors to keep their distance from patients’ mouths and noses. The GlideScope Core’s movable, detachable, and large, high-definition monitor makes it easier to take this precaution and intubate more quickly. This usefulness is reflected in the 5-fold increase in cart-based device orders for Verathon. While most providers typically order anywhere from 1 to 20 devices for airway procedures, one hospital system requested 600 GlideScope Core systems to meet current intubation demands.
Through modern technology and a focus on human needs, the GlideScope Core supports improved patient outcomes and creates a more seamless operating experience for medical professionals. The product underlines the key but often overlooked fact that often, in order to ensure the healthcare industry is patient-centered, medical device manufacturers and hospitals must also focus on improving the experience of providers.


Transforming a community hospital from the inside out
Designing for caregivers to create world-class care for patients.
Healthcare is notoriously difficult to change. Rules and regulations present complex barriers; health practitioners and organizations often have entrenched ways of working; and lives are literally on the line. Despite these significant barriers, the leaders at Newton-Wellesley Hospital (NWH) boldly committed to improving patient care through a new approach.
NWH is a community teaching medical center in Newton, Massachusetts. Because of its proximity to Boston—a city known for world-class healthcare institutions—NWH needed to differentiate itself. The hospital's new president, Dr. Michael R. Jaff, reached out to IDEO for help: "I knew that providing an unparalleled patient experience would set us apart from our competitors." But, Dr. Jaff’s particular approach was unique. He and Dr. Jodi Larson, Chief Quality and Experience Offer (CQXO), saw an opportunity to drive better patient outcomes through cultural and organizational change.
"You cannot learn any more than when you get to listen to your potential patients say why they would never walk into your place." —Dr. Michael R. Jaff
IDEO partnered with NWH for a year of work together, kicked off by defining the vision for NWH and ramping up to in-hospital prototyping and the launch of several new initiatives. A pilot project with the Women's Imaging Center (WIC) focused on solving departmental and employee challenges to provide a better experience for women getting mammograms.

Fueled by this potential, the WIC team redesigned key work processes and created a set of experience principles that inspired new service prototypes. Guided by principles like "Express mutual gratitude" and "Honor every voice," the WIC team tested ways for patients to acknowledge outstanding caregivers and created tools to gather better feedback from patients and adjust quickly. The experience of designing better services inspired the WIC staff to become ambassadors for the power of design thinking across other departments inside NWH and they continue to build on the work through new prototypes and experiments.
Next, IDEO partnered with NWH’s ambulatory surgery group. They took an analogous research trip to Boston’s Logan airport to see with fresh eyes how other high-touch customer service organizations provide customer value in a complex setting. Insights from the trip were applied through live prototyping of several new experiences inside the hospital, including a pre-surgery visit summary and pre-operation care carts.
Analogous research helped us realize that we can learn from other industries and incorporate some (cool) best practices if we allow ourselves to get over the ‘that would never work in the hospital’ mentality. - Dr. Jodi Larson

One of the most impactful prototypes was Care Modes, a tool to empower the NWH care teams to tailor their approach and interaction with patients based on the patients’ unique needs, beyond simply their clinical requirements. Four distinct approaches were identified for engaging a patient before surgery—Explain, Partner, Embrace, and Encourage. The Care Mode is determined based on the provider's understanding of a patient's degree of self-advocacy and their confidence that surgery is the best solution to their issue.

Historically, care providers have been trained to deliver consistent care above all else. However, Care Modes powerfully acknowledge that patients respond differently to different types of care. The Care Modes empower the team—from surgeon to nurse to anesthesiologist—with a clear framework for how to interact with and provide care for patients so they feel most comfortable. Based on the prototype's success with patients and impact on the staff culture, NWH has incorporated Care Modes into EPIC, the hospital's electronic medical record.
The importance of being patient-centered has been central to the healthcare conversation over the past thirty years; but new explorations reveal that there’s far more potential for innovation and improvement when the provider experience is considered in tandem with the patient’s. Each enables the other, and design for both together yields stronger solutions and better outcomes. IDEO's work with NWH demonstrates this vital shift in user-centered healthcare—one can't design services and experiences for patients without designing for their providers’ culture as well. When these go hand-in-hand, meaningful institutional change in healthcare is more than possible.


Helping a historic museum prepare for the future
Using design thinking to improve access, experience, and culture.
The mission of Chicago's Museum of Science and Industry (MSI) is to inspire children to achieve their full potential in the fields of science, technology, medicine, and engineering. Leaders at MSI realized they needed to drive day-to-day operations and maintain historic exhibits while focusing on where to go next. To prepare for its next decade, MSI worked with IDEO to create a new business focus to support the museum’s aspirations for the future. The plan would allow MSI to respond to the demands of the marketplace and raise the funds to get there.
At the beginning of the project, MSI laid out its priorities: improve equity of access, enhance the museum experience, and create a more innovative culture. To dive into each of these areas, IDEO conducted immersive research with families, teachers, donors, and staff.

IDEO brought together 60-plus donors, board members, and staff members to engage in a design thinking exercise to unpack and address the tensions that come with choosing a new strategic trajectory. Instead of having a standard ballot vote, the IDEO team encouraged participants to get up and vote with their feet, helping the group of stakeholders physically align on the museum’s new direction.
At the end of the research and prototyping phases, MSI and IDEO developed a vision called Provoking Minds, Inspiring Futures, creating six detailed design briefs to equip MSI teams to bring initiatives forward. The briefs laid out everything from recommending a new Department of Next, dedicated to ensuring that the future is at the heart of everything the MSI does, to MSI Runway, a place for experimental, small-scale, and limited-run exhibits. The ideas were brought to life with an interactive exhibit, built quickly with everyday materials like plywood and circuit boards, to demonstrate that creating an inspiring vision of the future doesn’t have to be an expensive endeavor.
The team also focused on insights that highlighted accessibility issues some families brought up early in the design process—travel across the city via public transportation can be lengthy, and the cost of admission to special exhibits could be prohibitive. To address these concerns, IDEO came up with the Mission Accessible brief: Inspired by casino buses, MSI bus stop signs would be posted in various low-income neighborhoods, signaling a way to take kids and families to the museum for free.

During the project, the IDEO team identified some low-hanging fruit, like rethinking ticketing and improving the student field trip experience, and helped the museum create cross-functional innovation teams to apply design thinking skills towards solving those challenges. They researched, brainstormed, and pushed forward new concepts, meeting weekly to share and build on ideas. At the end of the four week period, each team prototyped their ideas—new outdoor programming, software tools for visiting tour groups—and pitched them to each other.
In 2019, two years after the conclusion of the project, the collaboration paid off. With its new strategic plan and additional resources, the museum has renewed its commitment to serving youth, and MSI’s team, including donors, are aligned on a collective vision of the future. MSI raised more funds than in any previous year, including the single largest gift in its history—$125 million, nearly half of its $380 million fundraising goal—that will help ensure the years ahead.


The Jam Session That Spanned Three Continents
Eight designers, five cities, three countries, one song
Since 2008, when I officially started making music under the name Crunchybird, I’ve learned a fair amount about recording and playing. One of the biggest lessons has been how awfully lonely being a one-man band can be—not just socially, but creatively. There's no pushing and pulling, no building on each other's ideas.
So I asked myself: How could I pull in some of my friends from around the globe to make music with me?

I’ve always loved the concept of Exquisite Corpse, the Surrealist parlor game where someone starts a drawing and passes it on to others to continue. The final artwork is always unexpected, occasionally horrifying, and unavoidably original. Could we pull off a musical version? I was curious to see where it could go, so I threw the challenge to a motley crew of musically-minded colleagues around the world.
The rules were simple: Start something and pass it to someone else, somewhere else. That person spends a day adding to it, then sends the track to the next collaborator. And so on. We called the project "Exquisite Chords."
I learned a lot from the process. Before I walk you through the track my friends and I built together, here are some design principles to get you going.
3 tips for creative collaboration
- Start small and let go. When you collaborate with others, it’s tempting to set up a very detailed structure with a lot of constraints. For this project, it was fun to start with something more basic and give people the room to interpret it and shape it their own way. Don’t overthink it. Just let everyone throw something into the mix.
- Make each other successful. It can be really cool to see how participants take each other's work and improve on it. It's the musical version of the classic improv response "Yes, And…" Take what’s awesome and make it more awesome.
- Guide the vision. Creative collaboration can be terrifying. You have no clue how something will turn out, and it can be a disaster—the phrase "too many creatives in the kitchen” comes to mind. But as the leader, you have the opportunity to influence the end result. It’s important to respect people’s contributions, but to also know when to take the wheel and shape the outcome.
Exquisite Chords, step by step
Here's how our musical experiment started: One night, while sitting on the couch on our tiny apartment in Tokyo, with my wife and kid sleeping in the next room, I recorded a one-bar bass line over a simple beat on my Mac. What you’ll hear is an insomniac trying to make some sound very quietly:
I tossed the track over to my friend George Joseph, a communications designer at IDEO San Francisco, and an actual musician. He laid down some sweet, dynamic goodness atop my track in just a couple of minutes because he is, as noted above, an actual bassist. He also recorded an awesome vocal take. The lyrics are still a mystery to me:
George then shared the track with our friend Simon Heather, a business designer at IDEO New York, who we had heard has some shreddy chops on the electric guitar. It was true:
Simon passed the ball to Nick Dupey, a design director at IDEO Cambridge. Nick has a toddler named Julian Rose, who he recorded making toddler sounds:
Nick punted it to merry Munich, where design directors Franz Blach and Trent Huon took the whole affair to another level. Franz busted out a cornucopia of manipulated acoustic guitar sounds. He then arranged the pieces into a more dramatic song structure—verse, chorus, bridge, and outro included:
Trent added a touch of madness, crooning about the changing of the seasons on top of the new arrangement, improving the melody George had created:
And then it went back to San Francisco, where interaction designer Zubin Pastakia tacked on some angelic synths to round out the crescendoing finale:
Once the track was back in my hands in Japan, I realized the bass line that started it all would work better on the piano, so I re-recorded the melody and added a few parts to fill in the new arrangement. The piano complemented Franz’s acoustic guitar, which unfurled into a nice little wandering outro that could probably go on to be another song.
Finally, I worked with my producer friend Hamacide (a.k.a. Yusuke Hama) here in Tokyo to help tuck everything in, smooth it out, and make some final mixing and mastering adjustments to bring it all up to the next level.
Here's the final track, “Leaving Light”:
Our first collaboration as Exquisite Chords was indeed unexpected (and not too horrifying, I hope). What started as quiet plucking on a sleepless Tokyo night had blossomed into a trip-hop adventure for eight people from five cities in three countries. We never spoke to one another—it all happened over email and Dropbox.
It may not be perfect, or even be for everyone, but it's ours.
Want to join our digital jam sesh? Download the tracks above, add your own layer of sound, and tag your new mix with #ExquisiteChords.
I’m not a trained musician. But music is my favorite way to carve things out creatively. That is to say, I tinker with instruments to make noises that sound good together until I am smiling a lot. I'm not spitting out perfect tracks, but I'm having fun.


7 Tips for Seamless, Sexy Typography
For more friends and fewer misunderstandings
1. Keep a steady rhythm with ideal line lengths
The length of a line determines how much distance the reader’s eyes must cover to read it from left to right. Long line lengths make the text seem never-ending. Short line lengths make the reading experience erratic, and can cause the reader to miss important words. An ideal line length is 66 characters (including letters and spaces). For one column of text, aim for 45–75 characters per line; for two columns of text, 40–50 characters per line.

2. Use the right kind of dash
Dashes, such as hyphens, vary in length depending on the typeface.
The em dash (—) is a long dash, the length of the uppercase “M.” It can be used as an alternate for commas, parentheses, or colons, and is an incredibly versatile way to create emphasis in your writing. When used in multiples, the em dash also indicates missing portions of a word (s——t).
The en dash (–) is half the length of the upper case “M”—shorter than the em dash, but longer than the hyphen. It is used to separate a range or span of numbers, and is sometimes used to connect a prefix to a proper noun.
Keyboard Shortcuts
Em dash (—): shift + option + hyphen
En dash (–): option + hyphen
3. Don't put hyphenation in auto-drive
In the digital age, we often take hyphenation for granted, opting to use the “auto-hyphenate” setting, but there are some best practices to keep in mind when typesetting with hyphens.
If you are breaking a word between two lines, keep at least two characters in the first line and at least three characters on the second line. Try not to hyphenate consecutive lines. To “un-break” a word between lines, use a soft return (shift + return) at the beginning of the word to force it onto the second line.
4. Know the difference between smart quotes and prime marks
Prime marks ( ' ), also known as straight quotes or dumb quotes, are often accidentally used in place of smart quotes ( ‘ ), also known as curly quotes. Prime marks are a remnant of the typewriter, which only had prime marks to save space on the keyboard. So what’s the difference? Prime marks are used for units of measure (feet, inches, seconds, and minutes); smart quotes are used to indicate something someone has said.
Keyboard shortcuts
Left single quote ( ‘ ): option + ]
Right single quote ( ’ ): shift + option + ]
Left double quote ( “ ): option + [
Right double quote ( ” ): shift + option + [

5. Maintain a strong vertical axis
Hanging text, or outdenting, means moving typographic elements into the left margin. You do this to create a consistent vertical axis along the left end of the text. Quotes, bullets, and dashes do not take up as much visual space as a letter, so a list or quote that has not been hung, or outdented, can sometimes be mistaken for a new paragraph and cause unintended breaks in the reading rhythm.

6. Be on the lookout for widows and orphans
Try to avoid widows and orphans in your text. Widows and orphans are one or two words at the end of a sentence that are pushed to a new column or page; widows are at the end of a column, orphans are at the top of a page. They create very short lines and gaping holes of white space that can be visually disruptive for the reader. Maintain the flow of each sentence by using a soft return to eliminate stray words.
7. Track out all-caps text and use all-caps sparingly
When designing fonts, typographers must determine the amount of space around each letter so that letters of different sizes appear evenly spaced. The spacing around uppercase letters is often a little tighter, so that they can sit closer to the lowercase letters in a mixed-case word. When you typeset a word in all-caps, the letters will appear very close together. Remedy this by tracking out, or letter-spacing, all-caps words by about 10% of the point size height. For more details and examples on tracking (and how it’s different from kerning), take a look at Ellen Lupton’s book Thinking with Type, also available digitally here.
If your writing uses a lot of acronyms, consider selecting a typeface with a small caps font. Small caps are all-caps fonts designed within a typeface so that each letterform is only slightly taller than a lowercase letter. Small caps are automatically letter-spaced, and should not need any additional tracking.
Hungry for more on typesetting? Below are a couple of my favorite tried-and-true typesetting references:
A Type Primer by John Kane
The Elements of Typographic Style by Robert Bringhurst
Practical Typography by Matthew Butterick
Typography can be expressive, informational, or abstract. But sometimes it just wants to be invisible, allowing the content to take center stage. In this first installment of our Type Talks series—where IDEO designers nerd out about all things typographical—we offer tips for seamless, sexy typesetting (that you hardly notice).


These Eye-Popping Videos Capture the Madness of Cities
An interview with nomadic filmmaker Brandon Li

In one sentence, who are you?
I'm a nomadic filmmaker.
How did you learn to do it?
I travel the world and make short films about the places I visit. While I did go to film school, I'd say I learned most of my skills on the road, by trial and error.
WATCH: Hong Kong Strong. A film about the madness and beauty of this seemingly impossible city in the days leading up to Chinese New Year.
What are your three favorite possessions?
1. Good boots
2. My phone with Google Maps
3. My camera gimbal
What does a typical work session look like for you?
Shooting for about 12 hours a day, in the thick of a crazy festival in a foreign country. Then spending another 12 hours editing the footage and hiding from society.
WATCH: Nomads of Mongolia. Training eagles to hunt, herding yaks, and racing camels are just a few of the daily activities of the nomadic Kazakh people.
How do you get over creative block?
Travel to a new place.
WATCH: Tokyo Roar. Tokyo saturates the senses. This is my impression of the city's many personalities.
How do you see the world in 2078?
I see a mix of environmental catastrophe and remarkable human innovation. As the seas rise, we'll meet the challenge with ingenuity and eventually become fully sustainable, because it's the only way to survive.
Who are you (creative) crushing on lately?
Tokyo-born filmmaker Hiro Murai.

Getting the energy of a place on film is not an easy thing to do. Especially a transient place like Hong Kong. The city is both familiar and foreign to me. I was born there, and though I moved away at age 12, work has brought back many times over the years. On one of these trips, I was introduced to Brandon Li’s short film Hong Kong Strong (chosen by Vimeo as one of the best of staff picks in May 2016). In swooping, panoramic shots, it puts the beautiful madness of urban life and ordinary people on display. As a designer, I was instantly taken by Li's approach, as we, too, set about taking snapshots of daily life for inspiration. In this installment of Creative Crushes, I caught up with Brandon to find out more about his work.


8 Ways to Fail Your Way to Success
One designer's take on how to fail to succeed
At some point, though, we come to accept that screwing up is a key part of the creative process. Think about how kids play: They don’t think, they just do. And if the whole contraption comes crashing to the floor, they laugh at the mess and start over. (Or throw a fit, but hey, they’re learning about emotion, too!) Point is, when you embrace setbacks and don’t let them cripple you, you’re more likely to get across the finish line.
Maybe we should stop talking about failure and call our botched projects “experiments." And let’s take a cue from Edison and crowd as many experiments into 24 hours as we can. Here are eight ways to fail your way forward.

1. Keep it basic
Don’t start by trying to find a fully developed solution to a problem. Keep fidelity low at first to allow others to see the possibility in the idea, not the flaws. The higher the polish, the more likely you’ll get the wrong kind of feedback.

2. Design impossible tasks
Such as: How might we create a new color? How might we live forever? Moonshoot thinking frees us from limiting ourselves, helping us produce a bunch of wild ideas. None of them will be right, but they’ll rev the engine of our imagination.

3. Don’t assume your final format
What are you making? Will you be hand sketching? Wireframing? Sculpting out of modeling clay? Drafting a written piece? Even when our end goal is to end up on screen, it is often helpful to start in a different medium—and maybe a tactile one.

4. Set a goal for failure
Follow this advice from 100 Days of Rejection by Jian Jiang: “We will fail at least 30 times before we figure out the right solution.” Lowering the stakes and making a solution less precious makes it easier to generate a bounty of ideas to build from.

5. "This is a bad idea, but…"
Every time you throw out an idea, start with, “This is a bad idea, but what if…” That helps you practice non-attachment and prepare for the reality that most of your ideas won’t stick.

6. The Shame Gong
Every time someone makes a mistake or fails, hit the gong and have the team whisper "shame" in unison. It actually lowers the barrier for admitting to failure and makes for more honest, less bullshitty brainstorms. It also lightens the mood when you’re struggling with a particularly tough challenge or client. Plus: Ringing a gong is just fun. Missed a line item from the plan? Shame. Couldn't guess the grape of the wine at happy hour? Shame!

7. The mis-name game
Walk around the room and loudly, courageously, and boldly point at objects and yell out the wrong name for them. Do this for three to four minutes. Then pause and debrief. What was that like? Why was it difficult? There is a stubborn voice in your head telling you what is wrong, infeasible, impractical, too risky. The exercise reminds us that there’s a voice enforcing our fear of failure that can overpower our ability to take creative risks. Our job is to learn how to quiet that voice at the right moments to break out of the expected.

8. Worst experience ever
Design the WORST _blank_ experience ever (airplane/shopping/dining/laundry) and really encourage people to visualize it. Then use that to design the best version using an insight you learned from the worst. So, if the worst dining experience involved a waiter who would not leave you alone on a romantic date, what does that say about the key elements that make or break a date?
One final note for aspiring leaders: Don’t be afraid to talk about past failures and what you learned from them. Admitting failure will help your team gracefully shut down initiatives that aren’t working and move on to the next thing. Now get out there and gong.
Thanks to Tom Kelley, Kenneth Robertsen, Neil Stevenson, Olivia Vagelos, Eri Sugiura, and Sally Madsen for contributing to the piece.
“The real measure of success is the number of experiments that can be crowded into 24 hours.” —Thomas Edison
Most projects start with confidence. We’re going to crush this! Then come the mistakes. We squirm. We become riddled with self-doubt. Suddenly the prospect of success seems like a dim light bulb.


Lindsey Turner
I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.
I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.
Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.
My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.
I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.


Rachel Young
My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it
For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?
My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.
Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.
I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.


Brian Pelsoh
I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.
My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.
I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.
I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.
Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.


Tony Wong
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.
I advise global leaders on developing China-led innovation and capabilities.
In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.
Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.
Building a personal AI for the messiness of life: Sida Li
Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.
In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.
The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.
This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.
Designing GenAI for the emotional side of money: Johannes Seemann
Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.
The curious leader's edge in uncertainty: Scott Shigeoka
Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.
How constraints make us more creative: David Epstein
Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.
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