As many as one-third of the 300,000 annual cardiac arrest fatalities in the US could be avoided if defibrillation was applied within minutes of the cardiac event.

Working with Heartstream, IDEO tested the effectiveness of alternative defibrillator configurations with different users to help develop a highly mobile and easy-to-operate product. Heartstream systematically refined the concept with the goal of making its defibrillators affordable, transportable, and as ubiquitous as fire extinguishers.

(This device is now manufactured by Philips.)

Julep, a fast-growing beauty brand, noticed a problem that has vexed generations of nail polish users: The wand on the bottle is awkward and clumsy to use.

After rounds of user research, IDEO and Julep came up with the solution: the Plié Wand. The elegantly tapered handle sits easily in the hand and connects magnetically with a wand finely calibrated for precision. And for maximum flexibility, it bends to rest gently in the hand, making it an ambidextrous instrument.

Injured US servicemen and servicewomen returning from war must adapt to a home, finding workarounds to cope with their surroundings based on individual capabilities and preferences. Clark Realty Capital, a Virginia-based real estate firm that has partnered with the Department of Defense on more than $4.7 billion in privatized housing, collaborated with IDEO on a new model for building accessible homes on military installations.

‍

Facing the challenge of visualizing and designing the ideal home for soldiers injured in the field, Clark Realty Capital and IDEO designed floor plans and amenities that would meet or exceed the Americans with Disabilities Act (ADA) standards and be versatile enough to accommodate varied physical and psychological needs. The IDEO design team took an in-depth look at accessibility issues, interviewing and observing civilians and injured soldiers, and asked questions that shed light on how active-duty service members resume civilian life after debilitating injuries. What could make their experience more dignified and healthy, and what might reconnect them with family, close friends, and the world? The team uncovered seven contrasts that defined the complex needs of disabled soldiers and their families, and used these as direction and inspiration for adaptable homes for specific physical, mental, and emotional needs that also fit into the context of everyday life.

The final deliverable consisted of the home design but also included a book and poster that featured floor plans, elevations, and interior renderings. A compelling video montage depicting three real-life military families in the context and challenges of their current homes further reinforced the goals of this worthwhile endeavor.

US Army Fort Belvoir and Clark Realty Capital unveiled the homes on November 30, 2011, in Fort Belvoir, Virginia.

With nearly 5 million registered voters, Los Angeles County represents the largest voting jurisdiction in the United States. Guaranteeing every citizen the right to an accessible and intuitive voting experience has been the highest priority for the Los Angeles County Registrar-Recorder’s office, which oversees the election process.

To revamp its antiquated voting system that dates back to the 1960s, LA County hired IDEO to design the concept, look, and feel of its next-generation replacement, a modular system that could adapt over time. And just as important, one that would be designed, developed, and owned by the county.

Working closely with LA County staff, IDEO designers created a voting system that addresses the complexities unique to that voter base, including its vastly diverse population and its myriad election laws and policies. It was imperative for designers to build a system that would be useful and accessible to all types of voters: those who are vision and hearing impaired, in wheelchairs, have learning disabilities, are unfamiliar with technology, speak languages other than English—voters of all ages and backgrounds.

Their goals: to create one device for equal access, to define a voting process that feels familiar to voters, balancing both emotional and functional needs, and to build a system that’s adaptable over time.

The resulting prototype, designed in collaboration with Digital Foundry and Cambridge Consultants, is a voting device that’s customizable for different user experiences. A touch screen allows any voter to easily navigate the ballot by advancing through different screens showing lists of candidates and ballot measures. For those with vision impairment or reading disabilities, an audio and controller experience guides voters through their options with a push of a few simple buttons. And voters who prefer to read the ballot in a different language—Spanish, Chinese, Korean, or any one of the 11 languages supported by the county—can choose their preference on the same machine. Once they’ve tapped in their selections on the device, they receive a printed paper ballot that goes into an integrated ballot box (the use of a traceable paper ballot is still mandated by law).

Just as we’re able to use our mobile devices to simplify our lives for everything from shopping online to fetching a taxi, the new prototype also allows voters to participate in the ultimate act of democracy with the same ease and accessibility. Voters can mark their votes on their cell phones when it’s convenient, then go to a polling station to transfer their selections from their phones to paper ballots, and cast their ballots in a ballot box.

It’s this convenience factor that officials hope will ultimately make the act of voting more meaningful. “As an election administrator, I can’t drive how exciting the candidates are or how controversial the measures are,” said Dean Logan, LA County’s Registrar-Recorder and County Clerk, whose vision has driven this project. “What I can do, though, is drive a voting experience that’s appealing and that makes you feel the actual weight of the significance of casting a ballot. To be able to go to any location that’s convenient to you, I think adds to that sense of intrinsic value to the voting process. It makes it feel like I’m participating in something that’s meaningful and important, that’s consistent with the way I do other things in my life.”

Once the bulk of the work was completed in June 2016, IDEO handed off designs to the county for execution. IDEO has continued to advise the county and its implementation partners on an as-needed basis to ensure the original intent of the designs—to create a deeply human-centered voter experience—are incorporated during the implementation phase. LA’s new voting system, which rolled out in 2020, has the potential to influence how other counties across the country update their outdated systems.

VIDEO: Democracy By Design, interviews with designers, researchers and Los Angeles County staff. Produced by the Los Angeles County Registrar/County Clerk.

‍

The next time you enter a theater, take special note of the black curtains hanging onstage. I can almost promise they’ll be there. Short ones above the stage (called “trim”) obscure the overhead lights, while long ones on the side (called “legs”) hide the backstage performers. Black curtains are a set designer’s secret weapon.

Theater strives for suspension of disbelief. It’s the reason we cry when Romeo and Juliet kill themselves… even though we know the actors aren’t really dead. (They’re not even Romeo and Juliet, for that matter.) It allows an audience to imagine the world of the play far beyond the elements we see in front of us. In our heads, the vivid and colorful streets of Verona extend well behind the black curtains that frame the stage. And all the set designer had to do to create that illusion was hang some fabric.

Designers need to stop making slide decks and start hanging black curtains. As projects become more complex, it becomes impossible to represent an entire concept through words, images, and prototypes alone. Truly innovative designs can’t exist in our present world—they change it into something new. Taking cues from theater is one way to help people suspend their disbelief and bring them inside these new ideas. Here are three ways in:

Embrace Set Design

“Space creates behavior” is a mantra used by interior designers. But there’s a step missing in that equation: Space creates new mindsets, and new mindsets create new behaviors.

When we go to the theater, the curtain rises and we get our first glimpse into the world of the play. It’s the moment when an audience is asked to leave the reality of the theater (velvet seats, half-finished wine, smartphones, etc.) and enter an alternative reality crafted by the show.

Boardrooms are not a good place for achieving that effect. If we want people to engage with unprecedented ideas, we need to transport them out of their current reality. It’s absurd to assume that people will think differently when they are sitting in the same chair, at the same table, staring at the same drop-down projection screen they see everyday.

Even simple changes to a physical environment can drastically shift the way an audience (in this case, clients, investors, etc.) will approach a meeting.

Consider:

Lighting—a darkened room creates a sense of possibility and wonder.

The unexpected reveal—bring out a hidden element part-way through the meeting.

Sound—background noise or music helps guide people to an emotional state before, during, and after the show.

Play the Role of Director

Another way to shift a viewer’s mindset is to go at it directly. Direct them, as if they were an actor, and give them a new role to play and a new way to think.

At IDEO, mid-project meetings are often the most crucial point of contact with our clients. In those meetings, they must assess the opportunities we’ve uncovered through research, and decide which ones to pursue. If the audience defaults to their standard decision-making metrics, engineers will choose the most technically-feasible option, while the CFO might choose the most cost-effective path forward. Innovative ideas are difficult to judge in this way, so they can easily be left behind.

But asking these same people to make decisions from a different perspective can open up the room to new possibilities, and create excitement around the more difficult to imagine, yet more innovative ideas.

Here, you accomplish two things. First, by having them embody a new viewpoint, they are forced to drop their default mode of interaction and pick up a new way of thinking. Second, because the exercise feels inherently contrived, it offers participants a mental safety net. It’s not real—it’s make believe. When people let their guard down, that’s often when the real insights emerge.

Think about:

Directed actions—as soon as people are required to do something, they leave the passive audience state.

Physical movement—if people are required to stand up and move around, they automatically engage in a more meaningful way.

Assigning new roles—if people are required to observe and respond as someone other than themselves, they will come at the experience from a position of empathy.

Be a Reviewer

Anytime you engage with an unprecedented experience, the take-aways are not always clear. In the world of theater, new audience members might walk out of a show thinking, “I loved it!” or “I was bored!” or “I was bawling, but I’m not totally sure why.” A good theatrical experience should elicit some type of emotional reaction from the audience, but people may not have the necessary vocabulary to analyze it. Good reviewers can help translate the experience for the rest of the world and direct attention to what is important or meaningful.

In design, crafting the takeaway message becomes a crucial exercise. It’s important to tell people how ideas and concepts can translate back to their real-world experience. If the most brilliant concepts can’t be understood beyond the context of a highly theatricalized presentation, there’s no way it will ever have impact in the world.

Consider:

A summary—what's the essence of what they just experienced?

Analysis—what's the deeper meaning or purpose this connects to?

Drafting a plan—what actions should take place as a result of the experience?

Innovation is a tricky business. As designers, we are tasked with creating unprecedented experiences that help shift the world into the future, yet we are stuck discussing them in the present. Creating innovative work is not enough. We must create innovative ways of sharing that work to help audiences suspend their disbelief and imagine the future that might exist.

Illustrations by Megan Crabtree.

Two things are required for design success: the right idea, and the ability to convince people of its value. In recent years, designers have become more interested in storytelling to make the case for their solutions. I'd like to take that method a step further, by embracing theater.

As a little kid, I always loved drawing, but I didn’t actually get serious about art until high school. At first, I was just doodling on my homework and in my notebooks in my spare time, but by my senior year I thought it would be cool to set a deadline, and complete a sketchbook front to back in one year. It was a good outlet for my stressed and angsty teenage self. The first one took a while—definitely more than a year—but after completing it, I was hooked.

In a way, these notebooks act as a diary for me—I remember where I was mentally and emotionally for each drawing. Over time, my work has become a lot less about how angry I was that day, and more about colors, patterns, and shapes.

I like to draw simple lines and shapes, and for each composition, I typically just wing it. I’m sure there’s a meaning to whatever I’m drawing, but when I’m working on it, I’m actually not thinking too hard about it. It’s all stream of consciousness. I draw to de-stress and because it’s fun.

I ended up creating this bald, baby-like thing to represent a person or a feeling I was having. A lot of people have told me they can relate to my work, and I think it’s because of that character. It has no real defining features other than looking vaguely human, so a lot of people can put themselves in its shoes. I often get asked if it’s a boy or a girl or this or that, but it really doesn’t matter what it is.

As for the others, the only character that has a specific role is the little angry-looking black blob I draw from time to time. Originally, it showed up inside other character’s bodies as a stomach. I had a lot of stress-related stomach issues, and whenever I was feeling particularly bad, I’d draw it into a piece. I’m not great at telling people I don’t feel well, or that something is wrong, so my sketchbook is a good outlet. Recently I’ve just been hiding it around in parts of drawings for no particular reason.

People also ask me about my fish—they seem to be one of my more popular elements. I don’t actually have a particular fondness for fish, I just really love drawing patterns and their scales are the perfect platform.

I started posting each drawing to Tumblr just so I could see the development of my style. Now, it has more than 26,000 followers, which is crazy. Even though it’s super flattering to get such a huge response, I still have no interest pursuing illustration professionally. I draw because it’s fun.

Over the years that I’ve been doing this, I’ve learned that sometimes, you just have to stop talking and start doing. Actually forcing myself to set goals and do the work even when I didn’t feel motivated has been intensely rewarding. Not every drawing I make has to be good, and not every sketchbook is going to be finished within a year—I actually missed my 1/1/17 finish deadline. But my current sketchbook is some of the best work I’ve ever made, and I’m very proud of it—even though I’m only halfway finished.

From the moment we noticed industrial designer Felicia Chiao sketching her latest masterpiece between meetings, we (and our Instagram fans) were hypnotized by her bold colors, intricate patterns, and subtle textures. In this installment of What’s in my Moleskine, we invite you to dive into the dreamlike world Felicia has built in her sketchbooks—we guarantee you'll be hypnotized, too.

1. How hydrated are you?

I pulled this April Fool's prank on the Palo Alto office a few years back. People remarked that it was surprisingly useful and actually led to behavior change. — Albert Leung, IDEO Palo Alto

Tech and design firms love pranking and poking fun at themselves—some of our favorites from years past include Google's self-driving bicycle and Mark Zuckerberg's collaboration with H&M, including a "collection pack" of seven gray t-shirts and one pair of jeans.

2. Homecoming surprise

Back in 2012, I decided it would be fun to "redecorate my roommate's bedroom while she was away for work. It took 18 hours and 76 rolls of Saran Wrap to pull off, but every aspect of her life was covered in bright plastic wrap when she returned. I may have gone a bit over board: Each shoe was wrapped individually, then as a pair; I wrapped each piece of makeup, then wrapped them all together in a group; each thing on her wall was wrapped and rehung; every single book and article of clothing in her closet was accounted for. I honestly think—and I say this in a non-sarcastic way—that pulling this off was one of the things I'm most proud of in my life... which may say something about me. —Adam Moulter, IDEO Cambridge

3. Fluffy biscuits

When I was a kid, my parents made homemade buttery biscuits for us on April Fool's Day. The catch was they embedded cotton balls in the center. When we bit in, we got quite a mouthful!
—Sarah Buchanan, IDEO Palo Alto

4. Puppy love

April Fool's Day is a well-observed holiday in my household. Last year, I put this ad up on Craigslist in three different cities with my father's and two brothers' phone numbers. They received upwards of 100 phone calls and texts (each!) within the hour. —Em Havens, IDEO San Francisco

5. Not-so-current events

My mom was a prank legend in our house. April Fool's Day was a standard spectacle. She had a simple guiding principle for her pranks: Prank them early in the morning before they realize what day it is. One year, my dad, who routinely read the morning paper before work, was sitting with his coffee flipping through the day's events. My mom could hardly contain herself, but Dad didn't quite catch on. When he got to the business section, he suddenly said, "That's odd, I thought the markets went down yesterday and this says they went up." Mom burst out laughing—she had saved last year's April 1st paper for an entire year!
—Chris Waugh, IDEO Alum

Designers love a good side project—Halloween costumes, fancy proposals, Rube Goldberg machines—and April Fool's pranks are no exception. Check out some of the over-the-top pranks IDEO designers have pulled on their friends, family, and coworkers—and steal an idea for yourself!

Name: Farzad Azimpour, MD
Location: Palo Alto
Role at IDEO: Director of Health (biodesigner and cardiologist). I develop new medical technologies with a specialized team in the Design for Health group. We cover everything from biometrics and robotic surgical devices to future healthcare delivery systems, and anything else that hinges on human interaction and decision-making.
Joined IDEO: 2015
Instagram: @farzad.azimpour
Titillating Fact: I do a lot of “mode-switching,” flipping between totally different roles and mindsets. It's my way of cognitive interval training. One day I’m in the emergency room performing cardiopulmonary resuscitation (CPR) on someone with a drug overdose-induced cardiac arrest, and the next day I’m with an IDEO team interviewing someone struggling with addiction—in their home as the police bang on the door.

1. Hot Thoughts

Austin-based indie-rock band Spoon, aka “rock stars for the thinking person,” is releasing a new album called Hot Thoughts, previewed at an intimate set of performances this week at SXSW. I’ve been listening to them since medical school and find some of my best work comes from a late night tapping my pen and feet to their sonic genius.

2. The Current

Listener-supported Minnesota Public Radio (MPR) produces one of the coolest, most progressive radio services you’ll find anywhere, and they stream it live. This is where I discover new music to get me through the coldest winter months on the road.

3. The American Association for the Advancement of Science (AAAS)

This is one of my favorite resources for the wide landscape of scientific research. It’s where you’ll learn of new micro mechanisms to explain macro systems. Their peer-reviewed specialty journals span everything from cell-signaling and translational medicine to robotics, environment, and space. Out-nerd anyone at the next party.

‍

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: Farzad Azimpour, MD.

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.

‍

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.