---
asset_id: D4
title: Monthly Review Template
tier: Green
status: Ready for internal review
owner: Quality partner
audience: Quality, sponsor, clinical owner
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."
---

# Monthly Review Template

Month: __________

## Staff Confidence Pulse

- Response count:
- Baseline comparison:
- Trend:

## Safety Indicators

Use actual Nexus data only.

- Restraint/seclusion indicators:
- Injury trends:
- Grievance trends:
- Elopement or near-elopement trend:

## Learning Quality

- Debrief quality sample:
- Family-loop documentation sample:
- Scenario log themes:
- Facilitator quality observations:

## Balancing Measures

- Huddle overload:
- Delayed shift-start tasks:
- Staff confusion:
- Unsafe hesitation concern:

## Decision

- [ ] Continue.
- [ ] Revise.
- [ ] Pause.