Outcome Engenuity, LLC was founded in 1997 by David Marx.David is the Chief Executive Officer of Outcome Engenuity. He has spent his career helping high consequence organizations develop values-supportive practices and culture. In the healthcare sector, David has been working to help healthcare institutions and regulatory agencies reduce the risk of iatrogenic patient harm. In the area of system design, David’s ST-PRA process has been used to model and mitigate risks from wrong-site surgery to medication errors. In the area of safety culture, David authored the document, “Patient Safety and the ‘Just Culture’: A Primer for Healthcare Executives,” for the National Institutes of Health, and is considered the father of the Just Culture movement.