In 1987, the three companies that would later form IDEO worked together with Microsoft to create the world’s first ergonomically designed mouse. IDEO’s human factors research suggested a small but significant change: Moving the location of the mouse ball forward, from under the palm to under the fingertips, enabled more precise control and resulted in measurable performance differences compared with earlier models.

The industrial design effort examined and tested dozens of shapes in comfort and aesthetic studies that led to the famous “Dove Bar” form, a significant advance over the boxy mouses prevalent at the time. The resulting clean appearance, enhanced control, and improved reliability created enormous consumer appeal that replaced all earlier versions, and Microsoft sold more than 2 million units in its first two years.

With approximately 55,000 Americans waiting to receive kidneys and a list that could double in the next 10 years, there is an acute and urgent need for new technology to increase the quality and number of organs available for transplant. Using the conventional method of organ storage and transportation—a cooler filled with ice—doctors and nurses needed to accompany the organ to ensure proper handling.

IDEO and Organ Recovery Systems created the LifePort Kidney Transporter to provide a new high-tech alternative. The LifePort gently perfuses, or pumps, the kidney with a cold liquid solution to improve its condition before transplantation, which can nearly double storage time and may increase the number of usable kidneys and improve patient outcomes. The device also provides critical data to monitor and evaluate kidneys during transport.

Organ Recovery Systems believes that perfusion has the potential to remove tens of thousands of patients from the waiting list and dialysis, and save the healthcare system more than $1 billion annually. In 2006, the LifePort Kidney Transporter was used to transport 350 kidneys per month in 12 countries, and was included in the permanent architecture and design collection at the Museum of Modern Art in New York City.

Pediatric healthcare system Nemours provides primary, hospital, and clinic-based specialty care, prevention and health information services, and medical education programs in Delaware, Florida, New Jersey, and Pennsylvania. When Nemours wanted to strengthen its brand, it faced two challenges: Empowered patients had more access to information and choice than ever before, and new players—alternative-care centers, retail-based care clinics, and urgent-care centers—were entering the marketplace, diverting market share.

Nemours approached IDEO for help in creating an innovative, differentiated, and patient-centric experience for a new hospital in Orlando, with the goal of establishing Nemours as a destination care provider and industry leader. Together, they identified and clarified both family needs and key experience touchpoints in the patient journey, resulting in the state-of-the-art-designed, 60-acre, $400 million Nemours Children’s Hospital in Lake Nona Medical City, Florida. “The design team’s approach to defining key moments in the patient journey was highly instructive,” said Dr. David Milov, chief of clinical informatics at Nemours. “They captured insights otherwise unavailable to us.”

Concepts that were realized in the hospital’s final design include:

• Care Team Room ID: Patients and families are introduced to each member of their care team to ensure continuity of care.
• Floor Greeters: Concierge-like greeters welcome and orient families and answer questions.
• Family Lounges: Private dining rooms have kitchenettes, so families can cook and eat together.
• Emergency Department: Patients are greeted, sorted by medical condition, and immediately checked into rooms.
• Patient Information Screens: Doctors and nurses can access patient information prior to entering an exam room to enable informed conversations and build trust.
• Smart Bracelets: Personalized RFID-enabled bracelets keep track of the care team.
• Smart Rooms: Triggered by the Smart Bracelet, Smart Rooms “welcome” the patient upon entry.

To arrive at these designs, IDEO sought inspiration via analogous kid-friendly environments, such as museums, schools, toy stores, and zoos. Designers also conducted in-context interviews with patients, parents, families, doctors, nurses, support staff, and outside physicians. One key insight that led to the final design: Patients and families came to Nemours with varied levels of experience—first-timers, occasional visitors, and those who were chronically ill—but the hospital treated them all the same.

To address these needs, the team created an experience blueprint focused on welcoming, guiding, and supporting patients and families through unique environments, integrated service moments, and market-differentiating spaces and tools. To test the look, feel, and value of the designs, designers built full-scale foam core prototypes of welcome stations, waiting lounges, and exam rooms.

The results appeal to patients, families, and caregivers. According to Dr. Lane Donnelly, Nemours chief medical officer, “all the amenities at Nemours focus not only on the child but their parents and families as well.”

The hospital won two awards at the International Interior Design Association’s 2013 Best of the Best Gala (Georgia Chapter), one for the Healthcare Design category and one for best overall out of all 11 categories. Parenting.com writer Shawn Bean noted, “Set amidst a wooded expanse of central Florida, with theme park roller coasters peppering the horizon, Nemours Children’s Hospital is arguably the new high water mark for pediatric care in the United States.”

Designer turned educator Kiran Bir Sethi wanted to blur the boundaries between school and life to help young students become aware, enabled, and empowered to effect change in the world. In aiming to spread her message to millions of children across India , Sethi tapped IDEO and the d.school at Stanford to help create a design contest for youth that would show them that they could make a difference in their community.

Together with the d.school, IDEO designed a competition for middle school students called the Design for Change Contest. Adapting the human-centered design approach into a simple process that 10- to 13-year-old kids could follow on their own, the contest included rules, tools, and platforms that would be accessible to children and teachers throughout India regardless of their previous exposure to design.

The team shaped the rules so that students could learn core design-thinking skills such as empathy, brainstorming, collaboration, and reflection through the process of participating in the contest. And together, the group developed a toolkit to walk students through the simple four-step process.

The biggest challenges to the contest were overcoming the lack of infrastructure, language barriers, and a discrepancy in school resources. There was no national database of schools for easy outreach, so Riverside built relationships with NGOs across India to distribute the contest toolkit to more than 30,000 schools.

The contest receives about 2,000 entries from groups of youth in India each year. They have been addressing challenges such as illiteracy, pollution, traffic safety, care for the elderly, alcoholism, and the environment.

As of 2015, the Design for Change Contest has scaled far beyond India, and is being run in 30-plus countries, with millions of children participating. Each contest entry shows that kids really can make a big difference in the world.

Name: Ben Syverson
Location: Chicago
Role at IDEO: As a senior software designer, I apply an interaction design lens to software development (or vice versa?) to take our prototypes further faster. Our development needs are as diverse as our projects. Lately, I've been helping our team prototype concepts for the operating room using VR.
Joined IDEO: 2014
Instagram: @bensyverson
Titillating Fact: I've always been into typography, and after I joined IDEO, I started drawing letters after work. It's very meditative! Before I knew it, I had designed two large type families. Unbeknownst to my fellow IDEOers, I've been able to sneak those typefaces into every one of my IDEO projects, in some form or another—from wireframes and prototypes to client presentations.

1. Unison

Unison is a textile design company that I really admire. They often collaborate with local artists and designers, and I just love their taste and sense of style. Unison has a great little store here in Chicago, and a beautifully shot catalog that my wife and I absolutely pore over.

2. Rotring Rapid Pro

My Rotring Rapid Pro lead holder is my security blanket. I take it everywhere. It's mostly brass and steel, giving it the satisfying weight and premium feel of a classic Leica. The 2mm lead can give you fine marks or subtle shading, and can stand up to more pressure than thin leads. I bought two Rapid Pros, in chrome and matte black, because YOLO.

3. John Sheppard

I recently learned that my friend John Sheppard quit his job as an art director at the Wall Street Journal to fully focus on his gorgeous ceramic work, and I couldn't be happier for him. He has this amazing way of subverting the clean minimalism of his geometry with organic cutouts, intricate textures, and unexpected surfaces.

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In this series, we ask IDEO designers to share the stuff they're digging right now—tools, books, music, sites, people, places—so you, too, can drink from the fount of inspiration bubbling up here. This week's guest star: Ben Syverson.

I’ve been a fan of my friend and colleague Nick Dupey, a member of Young Monster, for years. He and I once collaborated on a poster for Moogfest, and the first night we got together, he pulled out a stack of multi-colored construction paper and began cutting out shapes. That moment stuck with me—it brought back memories of elementary school art class, a time without computers and inhibitions.

So as my holiday break began, I committed to return to that headspace. For over a decade I had kept file drawers of old clip art, temporary parking passes, owners manuals, security envelopes, and other ephemera that caught my eye. I guess it’s a kind of graphic designer kleptomania, pocketing found type and imagery to display or repurpose. I fumbled through the stacks, tore apart some junk mail and magazines, and began reassembling.

There was nothing precious about it. In fact, it was so quick that it felt like whiplash. My intent was simply to reassemble the mass of trash on my tabletop. It was an intuitive, thoughtless act that allowed my fingers to be free to make new movements. My sense of touch was back. I could hear the pink noise of tearing paper. I could smell the tape and glue. I had escaped the box.

Every day during the holiday I made a collage in an empty notebook I had long forgotten. I would slip away into my home studio during a lull and assemble another combination of type, images, and textures. I got lost in it. My creative freedom awakened. The feeling of creative wonder from my childhood was rediscovered.

I’ve kept it up since then. Early in the morning before I fill my mind with calendar to-dos, email, and other grown-up activities, I make something. It’s 10-20 minutes that sit somewhere between meditation and puzzle solving. My visual skills are sharper. My fingers are smarter. My ability to find resolution from chaos is faster. And even though I still don’t love my laptop any more than when this obsession began, I no longer feel trapped by it.

So how can you escape the box? Here are a few suggestions to help you rediscover your 8-year old self:

• Reframe junk mail as an endless stream of new mediums. Security envelopes from credit card bills, retail catalogs, and poorly designed postcards get me excited about checking the postbox when I get home.
• Begin with only a few elements—faces are the easiest starting point. Put three items together to get yourself going. The more you do, the easier it is to build complex creations.
• Don’t start with intention or a desire for meaning. Meaning will reveal itself as you create. The majority of what I’ve collaged is meaningless. It’s an exercise in associating form, color, and lines. But there’s the occasional moment when a story comes through.
• Always be willing to call your session a failure. I do these quickly and sometimes I just throw them away because they don’t resolve well. This isn’t an exercise in making something precious—it is a process that happens to have an occasionally stunning result.
• Save your scraps. I have drawers of them now and they often are the starter for my next image.
• Travel with a glue stick. Every hotel room has a stack of lifestyle magazines with luxury perfume ads. Tear them up in your downtime, then reassemble. Impress your friends on Instagram with your artwork instead of what you ate for dinner.

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Two years ago, I began to fall out of love with the computer. It had become a claustrophobic box that dictated how I communicated and how I created. I felt like I was losing my design sensibilities, and treading a well-worn trail through the same digital menus, with my fingers commanding the same virtual assets.

We wanted to change that, and in the process, to help our community learn how to do it better by paying close attention to how great writers wield language. So we invited our colleagues to take a close look at powerful opening sentences, all drawn from novels.

We called it The Sentence Gallery. Inspired by writer, editor, and friend-of-IDEO, Allan Reeder, the project takes to heart a quote by journalist William Zinsser that Reeder shared on his blog: "Writing is learned by imitation. I learned to write mainly by reading writers who were doing the kind of writing I wanted to do and by trying to figure out how they did it."

To bring The Sentence Gallery to life, communications designers Jason Baker and Sera Koo built a wall out of foamcore and mounted it in our main community space. Over a few weeks, they showcased a series of sentences, writ large. They also laser-cut thought bubbles from Post-it pads and invited people to reflect on what made each sentence effective. The sharp point of the bubble operated as a marker that allowed passers-by to draw attention to whatever effect they’d noticed, placing their comment at a specific moment in the sentence.

What’s the effect of this word followed by that one? How does the rhythm and pacing of a sentence make the reader feel? Those were the kinds of question we wanted the Gallery to provoke.

At IDEO, great writing emerges from an admixture of instinct, craft, inspiration, learning, and unlearning. That’s likely true for most any design artifact worth our attention.

As designers, we treat sentences like any other prototype. We get them out quickly, and then we get to work on them, refining our writing until it takes us where we need to go.

Writing sharpens our thinking. And as human-centered designers, we rely on it to communicate unspoken human needs. But the craft of writing is itself somewhat hidden; it can seem like a secret art, all furtive fingertapping behind the screen of an open laptop.

Conversational UI is getting a lot of buzz out in the world, and for good reason. SMS is going through a renaissance, and its immediacy and accessibility make it an ideal channel for building services at a time when apps are no longer the medium for digital experiences.

Beyond the buzz, conversational UI shows us that everything in design should be considered a conversation. All elements in an experience are exchanges between people, brands, businesses, services, and, increasingly, machine-powered intelligence. Conversation is the primary design material for designers — and its general purpose is to impact people’s behaviors and emotions.

Designing Conversations

The ambiguous design process.

These days there’s a strong focus on chatbots and conversations as end products, but in our IDEO New York studio, we’ve been using conversations as a prototyping tool to test assumptions, learn, and inspire design. Chatbots are exciting, but we’re also excited about what they unlock for us as a learning medium, not just because they’re the next big thing.

Here's one of our experiences using chatbots as a design tool.

Walkbot: Prototyping Content and Engagement

In 2014, together with a Japanese electronics manufacturer, IDEO designed a device and smartphone app that captures a woman’s activities in order to generate thoughtful, actionable insights about her fitness choices.

At the time, wearable devices were heavily marketed towards men. The women we were addressing wanted meaningful content, and were far more focused on competing with themselves than with others. It also turned out that our product was too data-heavy.

"I like that it’s there if I need it. It’s kind of like a little friend." [anonymous user]

Walking alongside our participants during field research.

The dashboard created to communicate with users and track responses.

To uncover what meaningful content looks like for these women, we went to the women themselves.

A software designer on our team built a custom tool leveraging Twilio’s SMS API, and created an SMS platform that a team of people could use to manage and direct messages. We recruited a panel of women, and during their workouts, a team member would send messages like “great workout, keep going” or “you’ve walked ___ steps today, add a 5 minute walk to reach 10,000.”

Lisa: “Ugh, he wants me to pick up my intensity and burn more calories.”

IDEO: “How do you know it’s a man?”

Lisa: “Because I’m mad at it right now."

An example of our real-time SMS prototyping — a team member would secretly text messages to our participant during her workout.

The responses were surprising. For one thing, women who participated in the design research would project gender and personality on to our bot. In moments of frustration, the bot was referred to as a “he,” when, in fact, the messages were coming from our female colleague. For another, not only did the women want to share their activities, they also wanted to share their failures. For them, fitness wasn’t purely about achieving a goal, but also the process it took to get there.

What we learned:

• The best way to understand what a conversation needs to be is by starting it. Figure out tone of voice, pacing, and interactions  as it unfolds.
• It’s possible to make conversations feel more personal with only a few data points. Be intentional and creative.
• Every participant will project an identity onto the bot — regardless of whether the design team gave it one.
• Bots allow for a nuanced interaction that might bring surprising elements to your product. Be willing to pivot in response to happy accidents.

Our Chatbots Protocol

During the past few years, the interaction design and design research teams at IDEO New York have worked closely with real people to test value propositions and the desirability of digital products and services. Together, we built ad-hoc tools that helped us design conversations with users, and engage with them in real-life contexts.

As we planned and ran these prototypes, we developed a set of principles we now rely on in our research.

• A prototype is a question, embodied. What are you trying to learn? Who are you learning from?
• Hack existing tools. There’s no need to build from scratch.
• Iterate in real-time. The beauty of SMS is that you can adapt quickly.
• Be explicit about the intentions of your work, and make sure that your actions are in line with the ethics of field research
• Consider all the stories, anecdotes, and insights you gathered through your chatbot to inspire the design.

Meet Stanley

There are several services that can help you set up an SMS-based platform. Alternatively, you can create your own conversation bot following the instructions we shared for Stanley, the SMS-based platform that we use.

You can find the source code, and the instructions to setup Stanley here.

For some more on using bots for design research, read this article on IDEO Labs.

The above is an abridged version of a longer Medium article that details three case studies where we’ve used chatbots to prototype services and products. Read the full article here.

Illustrations by Amy Wang.

The below is an abridged version of a longer Medium article that details three case studies where we’ve used chatbots to prototype services and products. Here, we'll focus on the hows and whys of using chatbots to prototype content.

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.

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.

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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 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.

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.

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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.

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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.

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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.

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.

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.

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.