About Outcome Engenuity
We are the curators of The Just Culture Community.
We are often thought of as “The Just Culture Community” as if it were our operating business name. We take that as a compliment. Yet we are honored to be the team effectively leading and curating the worldwide community of organizations along the Just Culture journey.
Outcome Engenuity, LLC was founded in 1997 by CEO David Marx. The firm originally addressed safety issues and human factors in aviation and offered expertise in post-event investigation and analysis. With the unique combination of systems engineering, human factors, and the law, David adopted and expanded the concepts of ‘Just Culture’ to help improve the management of human error.
It wasn’t long before David branched out to several other high-consequence industries. Spurred by the Institute of Medicine’s 1999 seminal study, To Err Is Human: Building a Safer Health System, and recognizing the need for a Just Culture approach, David began focusing on healthcare. The study showed that 98,000 people died annually from medical errors – a number which has only increased in the intervening years.
In 2003, Marx wrote “Patient Safety and the ‘Just Culture’: A Primer for Health Care Executives” for the National Institutes of Health.
In 2009, Marx published Whack-a-Mole: The Price We Pay For Expecting Perfection, an easy-to-read explanation of the Just Culture and how we can benefit from its ideas in our everyday lives.
For more than two decades now, the company has advanced the concept of Just Culture and its role in the design of effective socio-technical systems.
We have integrated systems engineering, human factors science, and even the law into unique strategies that are among the best in the world. We’ve created some of the most complex socio-technical risk models the world has ever seen, taught industries how to investigate events, and we’ve pioneered modern notions of values-supportive justice and learning (Just Culture).
For NASA, it was our event investigation skills, and our approaches for prospective socio-technical risk modeling that fit their needs.
For most hospitals and airlines, it is our Just Culture suite of tools that fit their need to change organizational culture.
For the Federal Aviation Administration, it was helping air traffic controllers find a reasonable balance between learning and accountability.
For the National Patient Safety Foundation (NPSF) and the Flight Safety Foundation (FSF), it is an ongoing outreach to improve safety.
For the South Carolina Hospital Association, it was simply a desire to help in any way we could to reduce the rate of adverse events in one particular area. Check out more information about how we accomplished this with The Final Check.
Helping you produce better outcomes – that is our desire.
For every organization and business worldwide it is our first class training and tools developed to make the best outcomes a possibility for all. Along the way we provide a vast support system through our advisors, client relations support, online and live training, workshops, tools and community websites at www.justculture.org and the special Outcome Engenuity Champions Forum at social.justculture.org.
Around this proposition, we present a set of design laws that influence our ability to create the societal outcomes we desire. They are the laws you must take into consideration when you attempt to design social systems, whether you are a parent, a manager, a CEO, or a lawmaker.
As a company, we have committed ourselves to this proposition and its accompanying design laws. We build tools and offer assistance to those who are committed to building a better world.
We have come to the conclusion that the outcomes we create across society are outcomes of our choosing – whether by acts of commission or acts of omission. For most problems, it is not that we cannot find an elusive ‘cure.’ Rather, it generally comes down to the basic problem presented to the economist: how do we steward limited resources for the greater collective good? Perfection or utopia, the complete elimination of harm, is not in our future. That said, we can be better stewards of our resources today; we can indeed produce better outcomes.
We want to celebrate those who get it right. Most importantly, we want to bring focus to those places in the world where we can make a difference.
Client Relations Specialist/SQA/Helpdesk Support
David Denton supports our clients through implementations and sales, and he plays a key role in our software development projects. He seeks to ensure that our clients have the best possible experience.
Chief Operations Officer
The bulk of Dave’s experience comes from the aviation industry, where he helped pioneer maintenance, reliability and human factors processes. He is now the COO of Outcome Engenuity.
Chief Executive Officer
David is the founder and CEO of Outcome Engenuity.
David Van Rycke
Client Relations Specialist
David Van Rycke supports our clients through implementations and sales. He seeks to ensure that our clients have the best possible experience.
Media and Outreach
Dave helps in our media developments like video, graphics, websites and marketing materials .
Ellen J. McDermott
Ellen McDermott is one of our advisors. As an Army veteran and a J.D., Ellen now turns her attention to building tools and helping our clients learn the five skills.
Client Relations Specialist
Janii Bouziden supports our clients through implementations and sales. She seeks to ensure that our clients have the best possible experience.
I.T. / Software Developer
Jared is our general purpose software developer and primary developer for the upcoming software product — Electronic Algorithm™. His primary focus is to create the best possible product to aide in the promotion of a Just Culture.
John Westphal is an advisor that has been with Outcome Engenuity since its inception. John builds tools and helps our clients learn the five skills.
Instructional System Designer
Matt Bassuk is our Instructional System Designer. If it’s about providing support for any of our advisors and trainers or designing our online instructional materials, Matt’s the guy.
Ross’s background is in Network Security and OpenSource computing projects.
He has spent the majority of his career working with the Department of Defense and building Multiplayer Online Video Games.
Finance Manager/Human Resource Coordinator
Tom Nguyen is responsible for managing the day to day Finance of the Organization as well as coordinating any Human Resources related request.