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.

How could Fintona make their newbies feel comfortable saying, “I don’t know, but I’ll find out?” They began by experimenting on themselves. Their first idea was a goofy one: arm each newbie with a Bat Signal—a flashing red police light that newbies could trigger any time they were stumped to summon help from across the call center.

The first day of the experiment, it was clear that the lights weren't working. Newbies who were already uncomfortable saying, “I don't know,” were even more uncomfortable turning on a flashing emergency light that screamed to the whole floor, “I DON’T KNOW!” When other service agents saw the signal, they just assumed that someone else would jump in and help. The experiment failed.

The team needed to iterate. They thought that maybe each Bat Signal needed a Batmanager—a dedicated leader who could watch the lights and swoop in to save the day. So, the team moved the lights to the managers' offices and asked them to be on the lookout.

That didn't work either. Newbies still felt singled out, and the Batmanagers weren’t at their desks often enough to act as a reliable safety net. Realizing the team needed a private way to call for help, they created a private chat channel—the Bat Chat—where newbies could connect directly with experts from Fintona’s specialized departments.

But the experts didn’t answer any questions. In fact, the only answers that newbies got on the Bat Chat were from other newbies. That gave the team an idea: They would launch the Bat Chat across the entire call center. They figured that veteran agents must know the answer to 80 percent of newbies’ questions, and they might be a safer resource than some stranger in another department.

Finally, success. The Bat Chat took off like crazy. Surprisingly, it wasn’t newbies who first started using the chat, but veteran service agents asking each other questions. As more veteran voices spoke up (or typed up), the newbies started asking their own questions and getting immediate answers.

The Bat Chat was the perfect solution for this team. But, there was no special analysis that they could have done beforehand to figure that out. No market research or benchmarking data would have suggested it. They had to build, fail, iterate, and repeat to find the answer. And once they found it, it didn’t need careful change management to extend it to the rest of Customer Support. It spread by word of mouth, and became a source of pride because the team found their own solution.

Fintona learned some remarkably similar lessons to what Harvard professor Teresa Amabile found in her two-year study of the culture of helping at IDEO: Newbies don’t need to be singled out. They need to see that everyone—even their most successful colleagues—need help sometimes.

This post is an excerpt of a longer article I wrote for Harvard Business Review. Read the full story here.

This article is excerpted from a longer story in Harvard Business Review.

Fintona Financial (not the company’s real name) was growing fast—so fast that their Customer Support call center had tripled in size. They couldn’t recruit fast enough. Many new service agents were pulled out of their two-month training program in as little as two weeks. Eager to look good in front of their bosses, these newbies struggled to answer tricky questions—all too often, they would give a right-sounding answer instead of saying, “I don’t know,” and asking someone for help. This not only triggered inceased call volumes but also began to erode Fintona’s customer satisfaction scores.

I first began creating cartoons as a way of communicating with Marta, my wife, when we started dating. I hate texts, so instead, I would draw a cartoon, take a picture, and send it to her. We are both New Yorker readers, and at some point she said that mine were better than most of the the magazine’s. She is not biased. Neither is my mom, also a fan of mine, so I thought it was worth the shot.

I submitted for the first time in the summer of 2016. A former coworker is married to David Sipress, a classic New Yorker cartoonist, and one of my favorites. David kindly offered to take a look at my cartoons. He said that they were totally publishable, and encouraged me to submit to the magazine. He also shared a few pro tips, like that The New Yorker very rarely publishes puns, and when it does, it’s almost always ironically (almost a quarter of the cartoons I sent him were puns).

Almost every week, the New Yorker cartoon editor meets with artists and reviews their work. This meeting is open to anybody. You just show up, sign up, and present your cartoons. So, one hot day in June, I printed my cartoons and showed up at the offices at One World Trade Center, ready to make an impression (good or bad).

The great thing about the cartoon meeting is that you sit with the editor and he gives you feedback, right there. Back then, Bob Mankoff was still the cartoon editor. The opportunity to have a private critique session with somebody like Bob was fantastic. On our first meeting he said that he liked my cartoons, that the drawings were very good, and the jokes were “not bad,” which is quite a compliment coming from him. He picked four of my cartoons and I was thrilled. I thought that I had it made and I was going to start selling cartoons right away.

Not quite. It turns out, the meeting is just the first filter. The editor has a subsequent meeting with David Remnick, The New Yorker’s editor, where he shows him his selection of cartoons for the week. David decides which to keep, but before the magazine buys anything, they will peruse their archives—and cartoons from other major publications—and check that they have not published anything similar first. It’s quite the process. They didn’t buy a cartoon that time. Nor the following week. Nor the next one.

In my meetings with Bob, he was quite blunt, but always funny, and he often built on my cartoons, coming up with new iterations or different ideas for the same joke. The main criticism I received was that my captions were not sharp or punchy enough. That makes sense because English is my second language. In Spanish, I am hilarious.

After many rejections, you might think I’d have gotten discouraged and stopped trying, but I have fun making cartoons. Rejection is just a part of the process that every cartoonist has to endure. It took David Sipress 25 years of submissions until The New Yorker published his work. Bob Mankoff himself sent more than 2,000 cartoons before he sold his first one. However, there are geniuses like Ed Steed who sell after their first submission. He is my favorite. I hate him with every fiber of my soul.

I’m also a bit of a masochist, perhaps as a side effect from attending a Catholic school for 13 years. I am an atheist now, but I still think that the only way to reach salvation is through suffering. I come up with projects that require a high level of commitment, take a painstaking amount of work, and provide low returns. I am very smart.

You can say that there is some sense of pride in a perfect record of 100% cartoon failure—otherwise I wouldn’t put them up with a big red REJECTED stamp on them. But the thing that I am most proud of is that Bob Mankoff said of one of my cartoons that it was the worst he had seen in his entire life. Hell, that’s something to brag about. I said, “Don’t worry, I can do worse,” and he burst out laughing.

However, I am not going to lie. Sometimes it hurts, especially after a few rounds of rejections. But that’s just my ego itching. Who wants to be published in The New Yorker after all? What a bunch of snobs.

That being said, I plan to go back to The New Yorker very soon to meet the new cartoon editor. I might get luckier with her. Getting into the rhythm of drawing ten cartoons every couple of weeks helped me hone my drawing skills, and I’ve missed it since I stopped. The style of the drawings I make for our projects, which often end up in front of clients, is the direct result of those dozens of hours of making cartoons. It’s like illustration gym.

And it’s interesting, the more cartoons you create, the more ideas you generate. At first I was afraid of running dry, but I was surprised when the opposite happened. I have a little red book where I write down ideas for cartoons, and the list keeps growing.

But, most importantly, I just enjoy making cartoons. Sometimes you can see me sitting by myself in a cafe, laughing out loud at my own drawings, which is quite a pitiful scene if you think about it. We are all going to end up as human compost, so we might as well laugh a little on the way to our graves.

Thanks to Lawrence Abrahamson, Michael Hendrix, and Lindsey Rodabaugh for encouragement and help with the exhibit.

IDEO communication designer Juan Astasio knows a thing or two about rejection. His great ambition is to publish a cartoon in The New Yorker. In the last three years, he’s submitted more than 100 cartoons and met with an editor to discuss his work ten times. Still, nada. But instead of being discouraged, Juan has embraced his failure, sharing his jokes with the New York studio on the walls of one of its phone booths. Here’s what he’s picked up in the process, why it’s worth it for him to keep going, and what, exactly, he’s learned from failure.

In one sentence, who are you?

I am Paul, and I run S.E.H Kelly, which is a menswear company based in London.

What do you do? How did you learn it?

We make clothes for men, every aspect of which—the cloth, the buttons, the buckles—is made by suppliers from around the British Isles. There are two of us at the company, and the other one, Sara, learned the trade in a tailoring house on London's Savile Row. I have a background in retail and design and other things, and together we cover most bases.

3 favorite possessions?

I don't really cherish possessions. I like my watch, which was a Christmas present, and—well, my bag is very much appreciated, being as it carries half my life without much complaint. My third favourite possession eludes me, sorry.

What does a typical work session look like?

Wake up, reply to emails, get train to workshop, pick up things, get train to a factory, drop off things, reply to emails, run around chasing up problems with cloth or patterns or making, eat, reply to emails, wrap and pack orders, print order documentation, walk to post office to send orders, walk back to factory, tie up loose ends, tidy up, get train home, eat, update or fix website, reply to emails, bed. Oh—and fit in some design if chance permits.

The workshop is our headquarters, and is first in a row of very small workers' units built at the end of the 1800s. It has a downstairs where we hang a selection of our garments and store various components such as buckles and horn buttons; and an upstairs, where we use a makeshift office and undertake the various more moribund duties of running a business.

It is a good little space—although rather dark—and is difficult to locate even when you're standing nearby. Visitors often remark, "Not easy to find, are you?" which I take as a compliment, since I've always enjoyed visiting places which are off the beaten track, or require some effort to discover. Always more fun, I think, and exciting, and hopefully brings a tinge more interest and character than a typical shopfront.

How do you get over creative block?

I don't force anything. If I struggle for a solution—be it a design solution or some written words—I leave it alone and do something else. I find the best ideas are those that at least appear to come naturally, even if they're the result of days or weeks of subconscious thinking.

What was the last item on your to do list?

"Remove collar from shirt for man in Norway."

How do you see the world in 2078?

Much more convergence of culture facilitated with cheaper travel, cheaper and more widely available communication technology, and hopefully much more mutual appreciation of one another rather than squabbling.

What’s your number one bucket list item?

Be absolutely, fully, and entirely satisfied, without caveat or "to-do," with every piece of our collection.

Who are you creative crushin’ on lately?

The game developer Ojiro Fumoto.

Shopping online often feels like work. To find one shirt, you have to slog through dozens of pages of boring photos of boring people wearing boring clothes. This isn't true of S.E.H Kelly. A visit online feels like a tour through their hidden, rain-damp workshop—from photos of button jars and bolts of cloth to the quirky ways that they describe their proper attire. I absolutely adore it. For this installment of Creative Crushes, S.E.H Kelly founder Paul Vincent shared some details about his label and design process.

I’m not alone in turning to mindfulness during the design process. Here’s how my colleagues and I use mindfulness to move from overwhelmed to optimistic, even during the toughest projects.

1. Adopt a beginner's mindset

When you're approaching a new design challenge, it’s easy to bring your biases and baggage to the table. But this is the moment to stay open: The root of creativity is embracing the millions of possibilities at your fingertips.

The “beginner's mindset” is a Buddhist principle we practice at IDEO. It means starting fresh, assuming nothing, and living the question. We see a lack of deep expertise in a new topic as an opportunity to get creative. Anyone can adopt a beginner’s mindset—all that’s required is openness and receptivity.

2. Practice radical acceptance

When I first learned about acceptance, it seemed to me it was just another word for complacency. As if to say, “That’s the way things are! Why bother trying to change them?” But on closer reflection, I realized that accepting the world as it is today requires a willingness to sit with uncomfortable truths and to see problems from all angles before jumping in to solve them.

By accepting a situation, you’re able to design a better approach from a place of non-resistance. At IDEO, we have a bias toward action: We make lots of tangible designs as a way of imagining the future. But action can be so much more impactful when it’s grounded in reality and driven by clear intentions.

3. Drop your ego

Mindfulness teaches us that the ego—the part of us that demands to be “right”—is not our true self. Our true self is found in the in-between moments when we’re able to just be—the times when we take in what’s around us, quiet our minds, and open ourselves up to feedback from the people we’re designing for.

One way we try to drop our egos at IDEO is by creating “sacrificial concepts”— prototypes that we design but ultimately cast aside in service of learning. Critiquing a sacrificial concept is an invitation for people to share their reactions without hurting anyone else’s feelings.

I sometimes suffer from the “disease to please,” wanting people to like everything I’ve made. But as I’ve leaned into mindfulness, I’ve realized that my ego can slow me down, and I've learned how to set it aside.

4. Listen deeply

Have you ever noticed during a conversation that the person you’re talking to is mimicking your posture? If you put your hands on the table, so do they; if you sit up straight, they follow suit. In conversation, people are often looking for an opening to make their next point, rather than paying attention to what’s being said. But if you focus on your own replies, you miss out on the words, tone, and body language of the people around you.

In The Power of Now, Eckhart Tolle says that when you practice judgement-free listening, you’re giving another person the power of your presence. At IDEO, every project starts with listening. Our human-centered, interdisciplinary design approach means that the whole team learns empathy skills and joins in the design research process. Listening elevates the voices of the people we’re designing for and ensures that their dreams and worries are our starting point.

5. Meditate in order to create

One of the biggest misconceptions about creativity is that creative people always wake up feeling compelled to create. The truth is that this compulsion is often blocked by insecurities or external pressures. In The Untethered Soul, Michael Singer describes these as “samskaras,” or energy blockages, which can be cleared by acknowledging them and focusing on your breathing. Tolle suggests that when you want to be creative, you should go back and forth between breathing and the task at hand every few minutes. Only when you’re clear-headed can you make.

At IDEO, we have a meditation group that meets every day, and any designer is welcome to be in the presence of others and connect inward. This ritual, and the support of the wider IDEO community, are wonderful reminders that everyone still has room to learn and improve.

By making mindfulness a regular part of my design practice, I’ve not only become a better designer, but hopefully a kinder, more patient, and more empathetic person. It’s been a journey well worth taking.

Illustrations by Cassandra Fountaine

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When I start to feel overwhelmed at work, with too much information to take in and too little time to process it all, I rely on mindfulness. Dr. Jon Kabat-Zinn, one of the fathers of modern mindfulness, describes the practice as “paying attention on purpose, in the present moment, and non-judgmentally.” It’s all about tuning into your sense of inner calm so you can be a better conduit for new insights and solutions.

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.