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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.

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Case study
Case Studies
Breakthrough Products
Health
AI & Emerging Tech

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

Enabling doctors to spend less time on paperwork and more on patient care.
Enabling doctors to spend less time on paperwork and more on patient care.
Ubie, Inc.
North America
Ubie, Inc.
Designing a better onboarding experience for an AI symptom checker at clinics, infection prevention, hand hygiene, Ubie, Inc, healthcare, health innovation, patient experience, AI, artificial intelligence, emerging technology, AI strategy, AI product design, responsible AI, designing with AI, healthcare design, digital health, patient-centered care, understanding user needs, how to use AI, innovation, strategy, product design, research, startup, rebranding

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.

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Case study
Case Studies
Strategic Futures
Health

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.

Designed around a high-definition, touchscreen monitor and comprehensive workstation, the GlideScope Core delivers elevated visibility and improved workflow.

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.

Verathon Medical
Verathon Medical
An improved airway intubation system that helps physicians save more lives, Verathon Medical, healthcare, health innovation, patient experience, systems thinking, systems design, service ecosystem, healthcare design, digital health, patient-centered care, innovation, mobility

Transforming a community hospital from the inside out

Designing for caregivers to create world-class care for patients.

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Case study
Case Studies
Creative Capabilities
Breakthrough Products
Health

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.

The pop-up design studio, dubbed Project Phoenix, was centrally located on the main thoroughfare of the hospital.

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

A team of surgeons, anesthesiologists, nurses, and hospital executives headed to JetBlue seek out inspiration around analogous themes of teamwork, coordination under pressure, and customized pathways for patients.

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.

The team produced several live prototypes in the hospital, gathering feedback and learnings directly from patients and staff. The first prototype launched was a series of experience kits selected by patients at check-in. Each kit represented a different mindset for patients—productive, serene, or enlightened—and a visual cue to signal different scripting and pathways from care providers.

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.

Designing a clear framework for caregivers to interact with and provide world-class care for patients.
Designing for caregivers to create world-class care for patients.
Newton-Wellesley Hospital
Newton-Wellesley Hospital
Transforming a community hospital from the inside out, Newton-Wellesley Hospital, healthcare, health innovation, patient experience, business transformation, organizational transformation, culture change, healthcare design, digital health, patient-centered care, innovation, design thinking, research, prototyping, transformation

Helping a historic museum prepare for the future

Using design thinking to improve access, experience, and culture.

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Case study
Case Studies
Strategic Futures
Breakthrough Products
Learning & Work
Public Sector

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.

Museum of Science and Industry, Chicago
Museum of Science and Industry, Chicago
Helping a historic museum prepare for the future, voting experience, voting machine, accessible voting, Museum of Science and Industry, Chicago, education innovation, learning experience, future of work, public sector innovation, government services, civic innovation, human centered design, design thinking, customer centricity, future strategy, strategic futures, designing for the future, innovation, strategy, research, prototyping, transportation, education, learning, government

The Importance of Public Weirdness

Why we all need some Improv Everywhere in our lives

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Articles

For a decade and a half, the group has built a global reputation for pulling stunts like the Grand Central Terminal freeze. If design is about the capture and channeling of attention, Improv Everywhere has a lesson for us in how to achieve that. We spoke to founder Charlie Todd to get some backstory on his benevolent guerrilla art troupe.

Charlie Todd, founder of Improv Everywhere.

How did Improv Everywhere start?

Charlie Todd: I totally blundered into it. I was 22-years-old, and moved to New York to be an actor in improv comedy. I said to some friends, let’s go play a prank in a bar tonight. We did it for five years, and then when YouTube was created, I already had a library of content. A thing we did in Grand Central Station got 10 million views in the first week alone. I’ve spent the last eight years following that viral breakout.

The "Grand Central Terminal freeze" prank. Watch the video here.

What’s the audience meant to take away from such stunts?

When a load of people turn up at Coney Island in eveningwear and jump in the ocean, and people ask why, the answer is that there is no why. We’re all conditioned to assess for some extrinsic motivation, like the thing was for charity or a comment on global warming. It’s okay to just do a thing because it’s silly.

The "human mirror" prank. Watch the video here.

So, it’s simple whimsy with no purpose?

Well, I’d like to think that having that experience maybe alters people’s perception in some small way. We’re encouraging people to express themselves in a public space, in an unauthorized manner. In this post-9/11 security world we live in, we’re trying to make people realize that they don’t have to ask permission to express themselves creatively.

Is it also important to be connecting people?

I grew up in South Carolina, in a small city. I was used to people making eye contact and smiling. Moving to New York, everyone is busy and has a smartphone. It was like the only time you made eye contact was if something bad was going on: a train being delayed, or a crazy person shouting. People would unify around shiftiness. So we thought: can we create something that is positive in nature, something so unusual and joyful that you have a positive connection with someone?

Do you always get a positive reaction?

During one of the No-Pants pranks we had some police trouble. An officer stumbled across the event, and didn’t like it. Our people stayed in character and said they had forgotten their pants. The officer took the train out of service. But everything was eventually dismissed. It turns out that there’s no law against being in your underwear. When we did the event the next year, the police were there, to help escort us and make sure people had a good time.

The "no-pants" prank. Watch the video here.

What do you do when you’re not freaking people out on the streets of New York?

I get hired by brands to create surprise moments or spectacles, or brainstorm ideas for a brand campaign. I get to direct and produce TV. Last year I was the show-runner for a show on MTV. I’ve also been at the Upright Citizens Brigade for 15 years, as a performer and teacher.

Tell us about the teaching. Can you teach someone to be funny?

All you can teach is for people to learn how to be themselves—to be honest, and react in a truthful way. Everyone’s unique personality and viewpoint is funny. It’s counter-intuitive: when trying to be funny, people often try to be something that they’re not, by imitating stuff they’ve seen on television and so on. Instead of trying to be something you’re not, you need to be more authentically connected to what you are. That applies to creativity too: instead of reaching outside and trying too hard, focus in on what truly inspires you.

Photos courtesy of Improv Everywhere.

In the dead of winter, 2001, a woman riding the New York subway looked up from her book and saw a passenger wearing no pants. She was puzzled, but ignored him. At the next stop, another pantsless passenger joined him. And then more. By this time, she had put her book away. A hidden camera captured her reaction as it evolved from confusion to delight. She traded looks of amazement with the other passengers—a group called Improv Everywhere was responsible for breaking their routine.

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the importance of public weirdness, improv, creativity, team collaboration, facilitation, urban design, cities

What Designers Can Learn From Wooden Block Puzzles

Lessons in problem solving

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1. A deeper understanding of 3D relationships

These puzzles teach how different shapes fit together in three-dimensional space. M. C. Escher would have no advantage: there is no cheating the puzzle, and all the rules of physics and gravity apply. In order to solve the puzzle, you have to understand how the shapes fit together. This is important for designers, especially when so much is being designed on a computer. If a product is being designed for the physical world, it needs to play nice with the rules of physics.

2. Forward and backward problem solving

Once you understand how the pieces are supposed to fit together, you actually have to make it happen. Often this involves both forward and backward problem solving. The internal monologue might go something like this: “So I am going to start with this piece because it is the biggest and is easiest to deal with, if I work around it. This smaller piece is probably the second half of the left side. And this piece has to be the last piece."

Sometimes you know the last step first. Sometimes you know step 1, 2, and 5 but then have to solve for steps 3 and 4. That can be scary in a linear world, but as designers that is sometimes the reality we face. It’s helpful to have the confidence that steps 3 and 4 will become clear, even if initially they are hard to see.

3. Hand-eye/Hand-brain problem solving

There is something very rich about holding a problem in your hand as you work with it. By holding the puzzle, you have a deeper understanding of the spatial relationships that must be solved. While it is possible to understand these things on a computer or on paper, being able to physically handle an object allows you to reach conclusions and iterate solutions in different ways. Fluency across mediums can only help us arrive at these solutions faster.

Others lessons might include balancing the details with the big picture, and reading context clues. But I found that I had an even deeper appreciation for these puzzles when I learned how to make some. I would encourage any interested designer with access to materials and tools to try making one for themselves.

For most of the puzzles, the pieces seem very simple. The simplicity is deceptive, however. Take the star puzzle: a configuration of six roughly rectangular identical pieces with two “triangular” notches cut out of each that slide together nicely (when you know how to do it.) But the pieces aren’t exactly rectangular. The notches are not simple triangles. In fact there are 12 faces, and only a handful of right angles. Plus, most commonly these pieces are only a few inches long—not safe to cut on most power tools without jigs—but which jigs? And to add to all that, they have to be precisely made in order to actually work, especially if you want them to look good. Again, there are simple solutions to all of these problems, but it takes some figuring to make it work. But that’s the point of a puzzle, right?

Maybe it’s their old school charm or the fond memories I have of solving them at Cracker Barrel, but I am a fan of wooden block puzzles. And after learning how to make them, from my wizard-like teacher at North Bennet Street School, I have come to appreciate the true elegance of these puzzles, and the lessons they have for designers.

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what designers can learn from wooden block puzzles, education, learning

Moving Pictures

Benjamin Dix's comics draw out the plight of refugees, child soldiers, and others on the brink

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Articles

Dix, a photojournalist, got on a plane for what he thought would be a 10-day trip. He ended up staying for four years, working at the United Nations to help find food and shelter for 300,000 displaced locals. It was during that time that Dix first came across Art Spiegelman’s Maus, the Pulitzer Prize-winning graphic novel charting Spiegelman’s father’s experience in the Holocaust as a Polish Jew.

Before Maus, Dix’s only exposure to comics came from reading Calvin and Hobbes and Asterix. But as he huddled in bunkers during air raids and artillery fire, Dix was struck by how simply and powerfully Spiegelman was able to render the complexities of identity, memory, and trauma in graphic form.

With violence between government and Tamil forces intensifying, the Sri Lankan government ordered the UN to evacuate the region in September 2008. Dix returned to London with post-traumatic stress disorder and a fierce determination to tell the stories of those he’d left behind.

He travelled to meet refugee families and record their experiences, and worked with illustrator Lindsay Pollock to conceptualize them into a graphic storyline. Dix also embarked on a Ph.D. in anthropology to systematically research the production of the comic. The result of all his work? The Vanni, a 200-page graphic novel about the conflict, told through one Sri Lankan family’s eyes, and an accompanying thesis on the methodology and ethics of producing such a complex piece of graphic literature.

A frame from Dix's comic about the Sri Lankan war, The Vanni.

Dix has since brought to life stories about crack-cocaine addicts in Guinea Bissau, a Nigerian woman trafficked to London (Abike's story, below), and the plight of African and Asian migrants in the Persian Gulf. At every stage, Dix works alongside his subjects to ensure he’s best reflecting their experiences, and their stories have become a powerful educational tool, illustrating complex, often abstract issues including migration, human trafficking, and drug addiction at the most human level.

Commissioned by The Guardian, and illustrated by Gabi Froden, Abike's story charts one woman's experience of being trafficked from Nigeria to London.

Abike's story is based on real interviews and experiences of the Nigerian victims of people smuggling.

Dix says that the highly visual nature of comics has proved impactful in educating people about these important issues.

A chance meeting with an IDEO designer led Dix to our London studio, where we collaborated on a three-day long pro bono sprint to develop his stories into scalable, interactive teaching tools for classrooms. We designed and prototyped a WhatsApp-based multimedia story about Merha, an Eritrean refugee fleeing to London to escape persecution, as well as an app-based version of Merha’s story, including buttons and swipes on each frame of the story, so readers could learn more.

In our sprint, we tested and built an approach that allowed people to read Merha's story on an iPad, clicking through to multimedia maps, news, and links about Eritrea, its people, and their plight.

Dix’s next step is to secure funding to build out the app and develop lesson plans to roll out across schools internationally. But in the meantime, he’s not standing still. Dix is already testing a lo-fi version of the educational tool—an interactive PDF—in 300 schools across 26 countries including Brazil, Sri Lanka, Democratic Republic Of Congo, the UAE, and many others. His next comic? Capturing the story of the Yazidi community fleeing ISIS in Syria.

It was Boxing Day 2004 when Ben Dix, founder of British literary comic publisher PositiveNegatives, got the call. A university friend, stationed in the Tamil Tiger-held region of Vanni in northern Sri Lanka, was asking if he'd come and help. It was the day of the tsunami that killed 230,000 people, one of the deadliest natural disasters ever recorded.

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moving pictures, social impact, community engagement, inclusive design

It’s Only Beautiful When it’s Broken

How I came to love broken type

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It turned what would be a humdrum brand mark into one that was tongue-in-cheek and playful. Optimistically, I wondered if it helped lift the spirits of the Great Croft residents. I also started looking for more typographical serendipity.

There are plenty of examples of signage that has degraded to the point of being unreadable, but a beautiful accident is where the change looks intentional and, ideally, adds to the meaning and character of the neighborhood.

I saw my second example at Unity Kitchen Cafe in the new Olympic park in East London, where residents and Londoners further afield are drawn by attractions such as the children’s adventure playground, nature park, or velodrome. The cafe contained a diverse mix of nationalities, so it seemed rather fitting that this broken C was reminiscent of a cedilla (ç), a nod to any European visitors. Please don't fix the sign, I love it the way it is.

I became obsessed. Searching everywhere for more evidence of meaningful mistakes, even engaging my family in the hunt, and it was on one such hunt that I found the Pelican restaurant in Peckham, south London.

I’ve been wondering about how we might design for beautiful accidents: if wear and tear isn't a thing we can control, how we can make accidents appear elegant? At Wired magazine they call such intentional accidents Wrong Theory. Inspired by Edgar Degas’ painting, Jockeys Before the Race, in which the artist defied the conventional composition of his day by inserting a grey pole that bifurcates the scene, slicing right through one of the horses’ heads. The same could be said of Marcel Duchamp’s act of turning a urinal on its head, signing it R. Mutt, and deeming it art. Wrong Theory celebrates the act of breaking the rules.

'Jockeys Before the Race' by Edgar Degas, left, and 'Fountain' by Marchel Duchamp, right.

But part of the beauty of Beautiful Accidents is that they are rare. If you find one, please share it with me! Check out my Instagram or tag your photos with #beautifulaccident.

I first spotted a beautiful accident when I saw the sign for the Great Croft housing estate in London. The A swinging down against the Akzidenz Grotesque type worked so well, in part aided by the horizontal seam in the concrete, that I had to think was that serendipity or intentional?

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it's only beautiful when it's broken, housing

Lindsey Turner

I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.

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Leader
Leaders

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.

My tween twins teach me more about technology and gen-alpha than the last decade of trend reports.
Making things that matter
Consumer Products & Retail
Media & Entertainment
AI & Emerging Tech

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

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Leader
Leaders
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.

The greatest project to which I’ve ever contributed is raising my two daughters with my husband.
Uncovering unmet needs
Consumer Products & Retail
Learning & Work
Media & Entertainment
Play
Public Sector

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.

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Leader
Leaders

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.

I love a good crit.
An inclusive, hands-on approach
Health
Learning & Work
Media & Entertainment
Public Sector
AI & Emerging Tech

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.

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Leader
Leaders

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.

I have a thing for antique maps.
Developing China-led innovation and capabilities'
Consumer Products & Retail
Food
Learning & Work
Industrial & Manufacturing
Episode image

Building a personal AI for the messiness of life: Sida Li

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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.

Health
AI & Emerging Tech
Technology
Learning & Work
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Designing GenAI for the emotional side of money: Johannes Seemann

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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.

Health
AI & Emerging Tech
Technology
Financial Services
Learning & Work
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The curious leader's edge in uncertainty: Scott Shigeoka

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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.

Learning & Work
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How constraints make us more creative: David Epstein

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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.

Learning & Work
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