Steve has more than 30 years of experience improving safety and reliability in naval operations, military and commercial aviation and health care. During his 13 years at Press Ganey he has worked with hundreds of hospitals and outpatient facilities to improve patient safety, safety culture, leadership accountability, cause analysis and peer review. On average, his clients have achieved an 80% reduction in preventable serious safety events with associated improvements in quality outcomes, safety culture survey domains, experience of care indicators and financial savings. Additionally, he has worked with a number of academic medical institutions to improve cultural indicators while gaining a commitment to patient safety and reliability among academic medical staff faculty.