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.

Thankfully, we have smarter tech tools than ever to help us spin through these cycles at a sprint. In a recent Quora Session hosted by IDEO U, we reached out to the entire IDEO community to ask what design research technology and other trends they're excited about. Here’s what we heard:

1. Going rogue

Influenced by Jan Chipchase and The Field Study Handbook, the “pop-up studio” model for doing design research in challenging, less-explored environments is finding success. Chipchase describes a pop-up studio as “a live/work space optimized for teams working toward a shared goal ... highly suited to international research, design, and innovation projects that require speedy immersion.” He talks more about the pop-up studio model in this Co.Design piece (and excerpt from The Field Study Handbook), “How To Do Great Design Research Anywhere On Earth.”

2. Smart sensors

Though some smart sensors are still in the early stages, looking at how sensors (from FitBits to smart moodmetric rings) can help inform our understanding of users' experiences. Projects like MIT's Dermal Abyss look into a future of smart, sensing tattoos.

3. Changes in data + privacy

With the General Data Protection Regulation (GDRP) taking effect in May 2018, design researchers in the EU and beyond will have to address changes to data privacy in a human-centered way, both in how we design our research, and in terms of how we explain it to participants. Understanding what that looks like in practice is important, so we published a little yellow book of Design Research Ethics.

4. Testing concepts in virtual + mixed reality

Augmented Reality (AR) and Virtual Reality (VR) are uniquely experiential and portable, allowing you to visualize complex ideas and measure user engagement in new ways. You can fully immerse users in an experience, get their reaction, and help them co-design (or redesign) an environment or experience on the spot using mixed reality prototypes. And now ARkits allow you to fully transplant a VR experiment with optical calibration—which allows you to retain the spatial boundaries and physics of a VR-created space anywhere on your phone. It’s pretty incredible.

5. Working alongside data science + machine learning

Most of us at IDEO predict that data science will complement and enhance a deeper understanding of qualitative research. By expanding our reach into data science, we’ll be able to understand how our designs are being used during live prototyping and piloting. Rather than relying exclusively on self-reported behaviors and stories, we’ll be able to collect actual interaction data.

But perhaps more interestingly, we’ll also be well-positioned to understand, both qualitatively and quantitatively, how a new artifact is causing a ripple in the ecosystem in which it was placed. As we strive to create disproportionate impact in the world, we’ll now have insight into what’s successful, and what’s impeding success. By introducing new areas of expertise into design research—legal design, policy design, infrastructure design, organizational design, behavioral economics, urban planning, macroeconomics, and more—we can begin to shift some of the fundamental underpinnings that can cause negative and adverse outcomes at individual, group, organizational, and societal levels.

6. Neuroscience x design research

One of our design researchers who studied cognitive neuroscience notes that there is a major connection between the brain and design—and a lot that we still don't know about that connection. This Quartz article discusses how neuroscience can help us create more effective human-centered cities. “Technology has now reached the stage where we can translate decades of neuroscience and psychological research from the lab into the city,” says neuroscientist Dr. Hugo Spiers of University College London. Now when we test prototypes, we can measure behavior, cognition, emotional reactions, physiological markers, and brain activity. Here are a couple more articles on the subject, from Forbes and The Leading Strand.

7. Digital forensics x design research

As technology becomes more ingrained in our daily lives, understanding how we live our digital lives—and the digital trail we leave as we go—will help unlock insights into new behavior.

8. Ethics in the age of artificial intelligence

Artificial Intelligence (AI) changes interaction and design in a way that's dynamic and incredibly complex. Because of its scale, adoption speed, and widespread human impact, it's important that someone raise a hand and ask the question, "Even though we can create this, should we?" Not all AI models are transparent and design researchers will increasingly become the voice in the room questioning its development. This isn't any different than what we do now, but it's more important in the age of AI.

This content originally appeared in a Quora Session hosted by IDEO on November 1, 2017. Special thanks to Ovetta Sampson, Dan Perkel, Michael Chapman, Samantha Miller, Rebecca Wint, Alana Murao, Mike Peng, Geoff Schwarten, Erin Bogar, Saige Perry, and Katie Clark for their contributions!

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Understanding the human challenge we're designing for is as much about inspiration as it is about information. Design research now happens in quick loops—gathering insights, building rapid prototypes, and getting feedback—rather than in a long and rigorous discovery phase.

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We have become accustomed to relating to these interfaces, and increasingly they are able to relate to us—taking in the world around them, talking to their users, and even inferring our emotions from how our faces change shape. I call this layer an Affective User Interface (AUI), a term borrowed from the field of Affective Computing.

Affective Computing is a field of computer science that develops technology that we might consider intelligent and emotionally aware. These new interfaces present a slew of opportunities and challenges, because as Dr. Cynthia Breazeal of the MIT Media Lab points out in her book Designing Sociable Robots, when a technology “behaves in a socially competent manner” our evolutionary hardwiring causes us to interact with it as if it were human.

And once we enter into that relationship, the personas we design for these bots affect our behavior, too. I’ve heard many people say that unassertive bots often bring out the worst in kids. When there are no social checks on rudeness—bots don’t tattle, after all—children tend to be more blunt, and can even become abusive.

That lack of assertiveness also affects adults. Reporter Leah Fessler researched how female-gendered bots respond to sexual harassment. It turns out that the assistants’ permissive personas can reinforce some disturbing stereotypes about women, and allow the user free reign to degrade them at will.

If bots can have a gender, I started to wonder whether they might also have a cultural or even racial identity. Considering the fact that these products allow us to choose between various accents, it would seem that designers have created nationalities for our bots.

I'm certainly not the first person to surface these issues. This New York Times piece by AI Now's Kate Crawford about "Artificial Intelligence’s White Guy Problem" comes to mind. And there are many people here at IDEO who are thinking through what it means to be inclusive human-centered designers as we work on Augmented Intelligence projects.

To explore this further, I decided to conduct an experiment to surface the personality of these bots by interviewing them.

The key was to ask soft questions: Where are you from? How old are you? Do you have any kids? What do you look like? Even, Tell me a story.

These interactions were not actionable queries, and thus triggered purely conversational responses that revealed the “personality” that the bots’ creators had designed.

I recorded a video interview with each voice assistant and handed these over to a number of illustrators commissioned via the social gig site Fiverr. While a few of the artists had previous exposure to the bots, I was able to source English-speaking international artists in markets where Alexa and/or Siri were not available. Countries of origin included Indonesia, Pakistan, Ukraine, Venezuela, the Philippines, and the U.S. For many of them, my videos were their first meaningful exposure.

Here are the images that came back:

Drawings representing Alexa and Siri based on video interviews I'd done by illustrators who had little to no previous exposure to the assistants.

Gender came through clearly, but I would also argue that none of the illustrations depict a person of color. Whether they were intentionally designed that way is not the issue. If users perceive the bots this way, what kind of cultural pressures are they carrying into the home?

It’s something I think about a lot as a first-generation American who has worked in and around tech throughout my career. On my father’s side, I’m the second U.S.-born family member, and on my mom’s side, I’m the first. I grew up in a diverse community, and the tapestry of cultures I experienced was simply normal, everyday life.

I was aware of code-switching pretty early on; many of my friends and family had their normal voice and their “professional” voice, and they chose which to use in different environments.

Looking back, I first learned about it when my mom gave a wedding speech.

My brother was shocked; he didn’t recognize the voice that he heard. I had to explain to him this was my mother’s work voice. Code switching isn’t inherently bad—we all do it to some degree—but if we’re to design Affective User Interfaces that are truly human-centered, then we must consider that for some, the switch requires more effort.

Inclusivity is not just an issue at the bleeding edge of tech. We’re seeing a growing body of evidence that those who speak outside of mainstream vernaculars have a harder time being properly recognized by affective systems.

This represents an accessibility challenge, but one that is resultant from a cultural rather than physical challenge. In a tech industry that is known to be monocultural, we must take steps to ensure our affective systems are not just designed to be useful to their creators, but inclusive of the full spectrum of people their products will serve.

Because ultimately what’s at stake is trust. Studies have shown that when brands lose trust, they lose customers.

As designers, it’s our job to expand the usability of our affective devices to ensure they serve the rich tapestry of people, cultures, and vernaculars they will encounter.

Beyond being good design, it’s good for business, because in our affective future the products that win will be the ones that users trust.

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Behind every interface, there's a designer. More like a team of them. And those designers have a lot to consider: What should Siri sound like? What kinds of things will people ask Alexa to do? How will users expect the Kuri robot to respond when they crack a joke?

It all started when we partnered with the American Refugee Committee (ARC), an organization that provides services to 3.5 million refugees across Africa and the Middle East. We teamed up to imagine a future where refugees have a voice in shaping the services provided to them, and are able to hold humanitarian organizations accountable for the services they receive.

The result was Kuja Kuja, a platform that has the potential to fundamentally shift the way humanitarian organizations serve refugees.

Kuja Kuja, a visual platform for tracking refugee feedback.

In a deep and humbling way, the friendships we made during those two weeks reminded us of how refugees, who are typically lumped together as a faceless, nameless group of displaced people, are smart, educated, optimistic human beings who've been brutally ripped from their homes by war and the vagaries of governance.

There are more than 65 million refugees and displaced people around the world today. That’s nearly 1 out of every 100 people on the planet. These people are no different from you or me in their need for safety, shelter, work—the most basic human rights.

On our last day in the settlement, at the end of the workday, we went to play ping-pong at a community center.

It was raining on and off, and there were a lot of people packed inside. There was a group of Congolese refugees breakdancing and practicing for a hip-hop dance competition. One of the dudes was beatboxing while his friends pop-n-locked and windmilled.

I started to beatbox with him and soon we had all kinds of people busting into our jam-circle to throw down raps in multiple languages—French, Swahili. It was the best example of getting close to the people you're designing for I could ever imagine.

I will certainly never forget that day. I glimpsed a world in which, if we were were all trapped in a room together, and broke out in song and dance, there would be no more war, no more displacement, no more refugees.

Back in August 2017, I was embedded at the Nakivale refugee settlement in Southwest Uganda for two weeks. I was there with Nathalie Collins from IDEO.org, to build a web application that collects refugee feedback and then visualizes that data in meaningful ways. Those two weeks could have been two months—Nathalie and I developed deep friendships with many of the refugees on the team. I'd been vocal-jamming earlier in the week with a pentalingual Burundian refugee and Kuja Kuja team member, and someone started videotaping...

More than 60 food, clothing, jewelry, and art vendors—including 25 IDEO designers—are stocked up to serve, while also raising money for the non-profit La Cocina. There's a little something for everybody, even...

1. The DIY Gardener

Plant your own succulent garden in a glass terrarium, or stock your home bar with cocktail mixers, artisan bitters, and local honey, courtesy of Radish.

2. The Girl Who Has Everything (She doesn’t have this.)

Jessica Hannah makes small-batch perfumes inspired by Hollywood classics and even the smell of worked leather. She also hosts regular workshops to help people craft custom scents from plant essences.

3. The Craft Brew Obsessive

You’ve tried microbrew, but not like this. IDEO designer Sean Hewens combines homebrewing with making fantastical maps—charting a fictional submarine race across the San Francisco Bay, for example—to create Bean Brew. Lucky drinkers (just 16 per micro-batch) answer a survey about the map on their Bean Brew bottles, and Sean turns the results into a one-of-a-kind poster.

4. The Jewelry Minimalist

Angular and understated, the gold-filled trinkets from Batsu Maru might be right for the best-dressed woman in your life.

5. The Upcycler

Waste not, want not. So says The Consistency Project, which sells vintage and customized clothing that’s been given a second chance.

6. The Recent Transplant

Bare walls? Why not fill them with whimsical, colorful, and soulful art from IDEO designer Felicia Chiao and illustrator Yoshi Yoshitani. Prints, postcards, art books, and coloring books are more than enough to liven up your space.

7. The Makeup Maven

Blood orange vanilla. Rose cardamom. Peppermint Eucalyptus. These aren’t flavors of bon-bon; they’re lip balms from METTA GOOD. The balms are made from beeswax and jojoba, coconut, and avocado oils, and METTA donates one percent of its proceeds to nonprofits.

8. The Pet Pamperer

Make your pooch look as posh as you do with colorful bandanas, bowties, and leash bags from The Foggy Dog.

9. The Happy Homebody

In her free time, IDEO.org senior designer Nicole Kraieski loves to throw down on her pottery wheel. She describes her tasteful tableware as, “ceramics made of clay by the Bay” in San Francisco.

10. The Eco-Chic Toddler

Apila Designs crafts organic cotton clothing—from beanies to onesies to leggings—for fashionistas ages zero to six. The screen-printed pieces are made in and inspired by Northern California.

11. The Avocado Lover

Pretty prints with a hint of snark—such are the whimsical greeting cards from Coffee n Cream Press.

12. The “Nasty Woman”

Give young women the gift of leadership by hosting a workshop with Girls Driving for a Difference. IDEO’s Katie Kirsch co-founded Girls Driving for a Difference in 2015 with the goal of helping middle- and high-school girls use design thinking to boost their self-confidence and improve their communities. The group offers a “workshop in a box” to get you started.

And remember, if you can't find anything off the shelf, there's still plenty of time to make your own gifts. Here's an impassioned plea for doing just that.

Design snobs are hard to shop for. But don't despair: We wrangled our favorite craftspeople for Wunderfaire, our annual winter celebration. The party is sold out, so we're sharing a sneak peek of gifts you can nab online.

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.