---
asset_id: A7
title: 90-Day Scale Decision Packet
tier: Green
status: Template
owner: Quality partner
audience: CNO, quality, executive sponsor
generated_at: 2026-06-19
source_refs:
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.md
  - apps/sim-ariasos-com/nexus-pediatric-5min-sim-enterprise-plan.pdf
  - generated-local/nexus-pediatric-safety-studio-assets/aria-microphase-asset-buildout-20260619.md
  - generated-local/aria-research-substrate/nexus-5min-sim-budget-20260619/manifest.json
  - https://sim.ariasos.com
  - https://www.crisisprevention.com/en-GB/blog/general/cpi-crisis-development-model/
  - https://www.crisisprevention.com/blog/behavioral-health/risk-behaviors/
  - https://www.crisisprevention.com/en-AU/blog/general/understanding-the-importance-of-integrated-experience/
claim_boundary: "Executive and clinical review artifact. Not clinical policy. Not approved for rollout until Nexus/CPI/addendum/risk/legal validation."
---

# 90-Day Scale Decision Packet

## Executive Summary

Recommendation:

- [ ] Scale.
- [ ] Revise and re-pilot.
- [ ] Pause.

One-sentence reason: __________________________________________

## Process Measures

- Sims completed vs planned:
- Percent of shifts with sims:
- Facilitator distribution:
- Scenario categories covered:

## Learning Measures

- Staff confidence pulse baseline:
- Staff confidence pulse midpoint:
- Staff confidence pulse endpoint:
- Debrief quality trend:
- Family-loop documentation sample:

## Outcome Measures

Use actual Nexus baseline and pilot data only. Do not fill with planning assumptions.

- Restraint events per 1,000 patient-days:
- Seclusion events per 1,000 patient-days, if applicable:
- Restraint/seclusion duration:
- Patient injury reports:
- Staff injury reports:
- Elopement or near-elopement events:
- Patient/family grievances tied to staff interaction:

## Balancing Measures

- Staff huddle overload:
- Delayed shift-start tasks:
- Increased reporting due to improved awareness:
- Unsafe hesitation concerns:

## Decision Record

- Quality partner: ____________________  Date: __________
- Clinical owner: ____________________  Date: __________
- Risk/compliance: ____________________  Date: __________
- Executive sponsor: ____________________  Date: __________