---
asset_id: A5
title: Stop Criteria and Scale Decision Rubric
tier: Green
status: Ready for internal review
owner: Quality partner
audience: CNO, quality, unit leadership
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."
---

# Stop Criteria and Scale Decision Rubric

## Immediate Pause Criteria

- [ ] Staff demonstrate unsafe contact during a huddle simulation.
- [ ] A facilitator shames staff publicly.
- [ ] A scenario conflicts with validated policy or teaches unsupported threshold language.
- [ ] Staff report confusion about when physical intervention is justified.
- [ ] Event data suggest the program is increasing hesitation during imminent-risk events.
- [ ] Metrics are not captured for two consecutive reporting cycles.
- [ ] Real patient identifiers appear in a scenario or review artifact.

## Day-90 Scale Test

Scale only if all are true:

- [ ] At least 70 percent of planned simulations occurred.
- [ ] Facilitators stayed within validated policy and psychological-safety rules.
- [ ] Staff confidence improved or shows a credible positive trend.
- [ ] Debrief quality improved.
- [ ] Leading safety indicators show credible movement or explainable neutral movement.
- [ ] No material compliance, risk, privacy, or psychological-safety concern remains open.

## Decision

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

Evidence packet location: ____________________