At one large hospital, the design team stood out starkly from the rest of the organization.
Within a culture of scientific professionalism, their casual dress contrasted with the formality of medical staff. Even their use of language was different — for the designers, the word “experiment” meant just giving something a try; for doctors, an experiment was a formal undertaking with placebo controls and fixed protocols.
These differences illustrated a cultural gap, one that could block design teams’ ability to innovate. As the lead designer told me:
“When you turn up at a clinic on a Monday morning to do an experiment, the desk staff … they’re just not going to want you near them, they don’t know why you’re there, they’re not going to really trust you.”
Pressed to show what they could do, design teams went out of their way to reach out to the rest of the organization and build legitimacy.
In many cases, this meant taking on small projects to show what they could do. However, these incremental projects could quickly become overwhelming. Said a design leader in a multinational drug company:
“The innovation team was spending a lot of time herding cats across the organization. Most of the effort was around [organizational] structure and scope of responsibility, and less about demonstrating what [design thinking] could potentially offer.”
Some organizations dealt with this by setting up independent labs, located some distance from head office. Yet there was a risk here too — such labs could become isolated from the organization, seen in one large retailer as “crazy cowboys,” rather than transformative innovators.



