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.

The meditation techniques below are designed to help you harness creativity by encouraging you to take time to pause and bring a more intentional approach to your work. They’ll help you cultivate a designer’s mind, characterized by:

• An open and curious mindset that can look at challenges from many angles.
• A rigorous and organized methodology for thinking holistically about a problem.
• Clear visual and verbal communication skills to work through and articulate potential solutions.
• A positive and optimistic outlook that can transform problems into solutions.

Here are 3 exercises to try out that should kick start your creativity:

1: Flowing River

If you’re feeling stuck with a problem you’ve been working on, taking a walk around the block or grabbing a breath of fresh air are both useful exercises, because they allow you to leave a problem behind and come back to it with fresh eyes. In that same vein, this first exercise is a highly visual and engaging way to clear some of the noise in your head.

Close your eyes and picture yourself sitting on a large, smooth rock in the middle of a river. It's up to you how big or powerful the river is, just make sure you feel comfortable on the rock you're on, and turn to face directly upstream. Sit there for a moment and start to breathe steadily, adjusting yourself to make sure you’re comfortable. Now look up the river, and whenever a thought enters your head allow it to float down towards you. Recognize what it is, give it a nod if you need to, and let it continue to float past you down the river. As other thoughts, worries, or memories come up, continue to picture them floating by until all you see is a clear-flowing river ahead. Take a deep breath and open your eyes.

2: Cloud of Gold

Sometimes when you feel overwhelmed by your to-do list, the natural tendency is to work harder and longer, and sacrifice things like taking walks, having an enjoyable lunch with a friend, or taking the time to let your mind wander. This exercise is designed to instill a feeling of optimism and positivity throughout your mind and body.

Close your eyes and imagine that a soft, delicate, golden mist is surrounding your head and shoulders. It might be swirling very slowly or just hanging there in space. It’s the most beautiful thing you can think of, and when you take a breath it fills your lungs with a wonderful sensation. Now start to focus on your breathing, taking steady and slow deep breaths. Start by focusing at the very top of your head, and as you inhale, visualize the mist filling that region. When you exhale, picture anything negative or unhealthy leaving that part of your body and being replaced by the gold mist. This might look like some kind of pollution leaving your system, maybe a dark mist that you want to expel and forget about. Once you’re comfortable breathing in the good and breathing out the bad, slowly start to move down from the top of your head, taking a breath or two for each area you recognize. You might want to spend more time on certain areas, like your eyes if they’re tired, your neck if you’re feeling sore, maybe somewhere inside your head if something’s been troubling you. Continue towards your toes until you’ve filled your entire body with the gold mist and can feel it moving through all your veins. Open your eyes and stand up.

3: Clay Mind

Find a ball of clay, or something else you can sculpt with your hands. You want it to be about two inches in diameter.

Think about one thing you are working on at this moment. Now that your mind is clear and healthy, this is a chance to practice deep focus and put some love towards something you might be struggling with. Our brains are intimately connected with our hands, and this exercise takes advantage of the fact that we aren’t often reinforcing that connection.

With your eyes closed, hold the clay in your lap with both hands in front of you. Imagine that the ball of clay represents that challenge or problem you want to focus on. Take a minute to warm up the clay with your hands, not thinking too hard, just move the clay around and allow it to grow into different forms. What are different shapes it can take? Once it has turned into a smooth rounded shape, imagine that it represents everything connected with your chosen challenge, a tiny universe you can mold and explore freely. Continue to roll the shape around in your hands. Now stick your fingers into the center of that world and slowly turn it inside out. What do you see? Allow the inverse world to be worked back into a round shape once again. Next roll it between your palms into a long worm and think about what that represents. Could it be a timeline? An alternate reality? A way of looking at different elements of that world in a more linear way? Now divide your clay in two parts, assigning meaning to each part. Continue to subdivide into small pieces until you’ve exhausted the amount of elements you can assign a meaning or role to. What do you see? Is there anything you haven’t recognized before? Lastly, gather the pieces together and form them into a smooth shape again, and begin to slowly increase the pressure on it until your hands are holding it so tight they can’t move any more. Take a deep breath to allow that world inside you, and as you exhale let it go.

Illustrations by Adam Hilborn.

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We live in a world that values extroversion, production, and a lean approach to business and product development. Companies that embrace those ideals may be effective at pushing an idea out into the world, but might they lose something valuable to the creative process along the way? Like reflection, mindfulness, and a clear head?

Short answer: Yes.

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In design and innovation projects, we are always trying to understand constraints, eliminate uncertainty, and ground ourselves in the problem. But in any creative exercise, there is always a moment when the individual or the team needs to take a leap. And when that leap happens, you want it to be as dramatic, confident, and exploratory as possible. Put another way: There is a moment in any creative process when you actually want to maximize uncertainty. The Surrealist methods were aimed at achieving this, by embracing randomness and accessing the unconscious.

Here are five of of our favorite Surrealist methods:

1. Word Spinner

Make a list of 16 words that you find interesting, and number them. Cut out a circular piece of paper, write the numbers 1-16 on the circumference, and stick a pencil through the paper to create a spinner, like you'd use in a board game. Use the spinner to generate three numbers. Now write a poem or short piece of prose that uses the three words that correspond to the numbers.

2. Automatic Writing

This writing habit has been broadly adopted; it was featured, for example in The Artist's Way by Julia Cameron. The method originated with the Surrealists, who believed that forcing yourself to write whatever comes into your head without self-editing will lead to surprising creative breakthroughs. The easiest way to practice this is to set a timer, and then write without pausing for that period. Though uncomfortable at first, this practice can quickly become a valuable source of ideas.

3. Surrealist Collage

Artist Max Ernst invented this technique of cutting out imagery from multiple sources and reassembling it to create something surprising and new. He chose images of similar styles (for example, all black and white etchings) so that they all worked together in the final image. With so many images available to us in the form of magazines and junk mail, we all have the chance to become surreal collagers.

4. Frottage

This is a variation on the "found image" technique of collating. Instead of cutting images out of source material, take a blank piece of paper and a crayon or charcoal and look for interestingly textured surfaces from which to take rubbings. Layer several rubbings on top of each other to create an entirely new image.

5. The Exquisite Corpse

The most famous of the Surrealist games, the Exquisite Corpse is an example of a chain game—a game in which a piece of creative work is passed from one player to another. This one began life as a writing exercise, with players taking turns writing nouns and verbs. (The game gets its name from the sentence that came from the first time it was played, "The exquisite corpse shall drink the new wine.")

Over time, the game morphed into its better-known sketching form, in which players fold a piece of paper so that one person can sketch a head, the next a body, and the last one the legs.

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There is more to surrealism than Salvador Dali's mustache or people wearing lobsters on their heads. The movement, started one hundred years ago, was founded on the idea that creativity could be accessed by lessening the controls of the conscious brain, and giving free rein to the unconscious. Today's neuroscience supports their thinking: There is evidence that imagination and day-dreaming takes place when we are not focusing our conscious attention.

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Designing for Public Services is a toolkit for policymakers and those who deliver public services, developed in collaboration with Nesta, a U.K. innovation charity, and Design for Europe, a design and innovation program co-funded by the European Commission. The tools and methods included allow users to get to the heart of the needs of citizens and civil servants.

The processes and supporting tools, which have been tried and tested in government agencies from Singapore to Qatar, the U.K. to the U.S., can be applied to designing policy and citizen-centered services.

Download the toolkit here.

Spying on Harriet the Spy, Kid Design Researcher

During design projects at IDEO, we often seek inspiration by looking at the world through someone else's eyes. One of our favorite children’s book characters is Harriet the Spy, and we asked ourselves, What if you could see New York through Harriet's eyes? She’s the original design researcher—setting out with her notebook to observe the subtle ways her neighbors behave.

As it turns out, a real estate site has already tracked down Harriet's address: 558 East 87th Street. If you pay a visit to her apartment, look up to the third floor, right under the eaves. According to the book, this is the perch from which she peered down at the street and recorded notes. We were curious to see if any of Harriet’s neighborhood hangouts still exist. Carl Schurz Park, where she lost her notebook, still sits on the East River at East 86th. Harriet reports that the Gregory School, where she was a student, is right nearby, so many people assume it is based on Chapin School, two blocks away. Harriet spies on delivery boy Little Joe Curry from an alley behind the Dei Santis’ grocery store on York Avenue at East 86th Street. Though that shop is now a restaurant—denying us the vicarious thrill of peeking through the window where Harriet did much of her spying—visiting her old haunts sent a spike of childlike joy through us, and transported us to a time when a book could open up an entirely new world.

Koneko Cat Cafe

Koneko Cat Cafe is a relatively new spot on the Lower East Side where customers nibble on Japanese pastries while lounging with an adoptable clowder from Anjellicle Cats Rescue. The cats roam free between rooms on two different levels, lazing on designer cat furniture or swatting at the many cat toys provided for visitors. Everyone can engage in a different way: playing directly with the cats, doing other work with the bonus of being surrounded by felines, or striking up a conversation with humans who have the same affinity for cats. Koneko’s founder toured 25 cat cafes in Japan to get inspiration for her own place. Koneko is similar to Japanese cat cafes, but has a more sophisticated interior design with curated art on the walls. As one visitor told the New York Times, “I have a cat, so I feel a little dirty coming here. It’s like going to a strip club if you’re married.”

Tiny Doll House

We know many designers who find pleasure in miniature things: miniature spoons, miniature post-its, you name it. Hidden in the middle of a long residential block on the Upper East Side is a miniature heaven: Tiny Doll House. It’s a store that sells dollhouses, as well as dollhouse furniture and supplies: miniature nightstands, candelabras, and even equipment to electrify a dollhouse. The store sources miniatures from Europe and South America. Immediately after stepping inside, your imagination is fired up. Peek inside an English Cotswold Cottage—next door to a Riverside Townhouse. The attention to detail and passion that goes into each one is simply astounding. Even if you’re not passionate about decorating dollhouses, you can use these supplies for making terrariums, architectural models, or prototyping small versions of design projects. You can buy tiny Thanksgiving dinner sets, caskets, Starbucks coffee mugs, garlic presses, bunk beds, broken eggs, beaux arts desks, and everything in between.

Header image courtesy of Koneko Cat Cafe.

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Our designers, anthropologists, and architects are professional wanderers. And we don't have to wander far in NYC to find inspiration—it's right outside our door. Here’s where we’re headed this fall.

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.