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People-Centered Design

Created Jul 24, 2026, 10:27 AM · Updated Jul 24, 2026, 10:27 AM

Design for real human needs first - customers, teammates, stakeholders - or the change will not stick.

Key Concept

  • A process that ignores the people inside it gets worked around by Friday.
  • Level 1: If a new rule ignores how real people actually work, they will find a workaround by Friday - like a path worn through grass because the sidewalk missed where people walk.
  • Level 2: People-centered design means the process must fit humans inside it - ignore them and workarounds appear immediately.
  • Level 3: A policy that fights real workflow gets routed around - design for how people actually move, not the org chart fantasy.
  • Level 4: Pilot with the people who must live in the rule - if they invent a bypass in week one, the design failed, not the staff.
  • Level 5: Safety by Design and Staged Rollout assume the same test - Normalization of Deviance starts when the official process and the lived process diverge.
  • People-centered design keeps actual needs in front - what slows a nurse down, what confuses a new hire, what a customer is trying to finish - before I optimize the chart or the slide.
  • Listen Before Fixing and Psychological Safety are prerequisites: you cannot design for people you did not hear.

Examples

  • The clinic rolled out a new chart template nobody could finish during a shift - people-centered design was watching one nurse chart for twenty minutes, then cutting three fields.
  • Our checkout ‘improvement' added steps customers hated - people-centered design was shadowing three checkouts and removing the extra tap, not defending the flowchart.

Note Relationships

RelationshipWikilinkReason
alternativeGod Centered DesignPeople-first serves humans; God-first orders who you are ultimately building for
contradictsOutcomes Over Pitch Deckswhen slick decks beat watching one real user struggle
extendsListen Before FixingHear the need before you ship the fix
extendsPsychological SafetyPeople tell you what breaks when honesty is safe
extendsServant LeadershipLeaders unblock humans, not only metrics
extendsShadow the WorkWatch real use - flowcharts lie politely
implementsTransformation PrinciplesPeople-first lever - why change survives contact with real work
implementsWorkplace PrinciplesPeople-first change in plain office language
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One Sheet, Eight Pages: Why I Use a 1-Page Zine for Rules Booklets

One Sheet, Eight Pages: Why I Use a 1-Page Zine for Rules Booklets

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