Sync template from atomicqms-style deployment

Forms/Assessment-Tools/FRM-MHI-002-Safety-Assessment.md

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+# Inpatient Safety Assessment
+
+| Form ID | FRM-MHI-002 | Revision | 1.0 |
+|---------|-------------|----------|-----|
+
+---
+
+## Patient Information
+
+| Field | Entry |
+|-------|-------|
+| Patient Name | |
+| MRN | |
+| Date of Birth | |
+| Unit/Room | |
+| Admission Date | |
+| Date of Assessment | |
+| Time of Assessment | |
+| Assessor Name | |
+| Assessor Credentials | |
+
+---
+
+## Suicide Risk Assessment
+
+### Current Suicidal Ideation
+
+| Question | Response |
+|----------|----------|
+| Are you having thoughts of suicide or self-harm? | ☐ Yes ☐ No |
+| If yes, how often? | ☐ Fleeting ☐ Intermittent ☐ Persistent |
+| How strong is the urge to act on these thoughts? | ☐ None ☐ Mild ☐ Moderate ☐ Strong ☐ Overwhelming |
+| Do you have a plan? | ☐ Yes ☐ No |
+| If yes, describe plan: | |
+| Do you have access to means? | ☐ Yes ☐ No |
+| Do you intend to act on these thoughts? | ☐ Yes ☐ No ☐ Ambivalent |
+
+### Suicidal Behaviors
+
+| Behavior | Present |
+|----------|---------|
+| Recent suicide attempt (within 30 days) | ☐ Yes ☐ No |
+| If yes, date and method: | |
+| Interrupted or aborted attempt | ☐ Yes ☐ No |
+| Preparatory behaviors (writing note, giving away possessions, etc.) | ☐ Yes ☐ No |
+
+### Historical Risk Factors
+
+| Factor | Present |
+|--------|---------|
+| Previous suicide attempt(s) | ☐ Yes ☐ No |
+| If yes, number and methods: | |
+| Self-harm without suicidal intent | ☐ Yes ☐ No |
+| Family history of suicide | ☐ Yes ☐ No |
+| Previous psychiatric hospitalization | ☐ Yes ☐ No |
+
+### Clinical Risk Factors
+
+| Factor | Present |
+|--------|---------|
+| Depression | ☐ Yes ☐ No |
+| Hopelessness | ☐ Yes ☐ No |
+| Anxiety/agitation | ☐ Yes ☐ No |
+| Psychosis | ☐ Yes ☐ No |
+| Command hallucinations (self-harm) | ☐ Yes ☐ No |
+| Intoxication/withdrawal | ☐ Yes ☐ No |
+| Chronic pain/medical illness | ☐ Yes ☐ No |
+| Recent discharge from psychiatric hospital | ☐ Yes ☐ No |
+| Insomnia | ☐ Yes ☐ No |
+
+### Precipitating Factors
+
+| Factor | Present |
+|--------|---------|
+| Recent loss (relationship, job, housing) | ☐ Yes ☐ No |
+| Recent humiliation/shame | ☐ Yes ☐ No |
+| Legal problems | ☐ Yes ☐ No |
+| Financial problems | ☐ Yes ☐ No |
+| Anniversary of loss | ☐ Yes ☐ No |
+| Other: | ☐ Yes ☐ No |
+
+### Protective Factors
+
+| Factor | Present |
+|--------|---------|
+| Reasons for living | ☐ Yes ☐ No |
+| Future orientation | ☐ Yes ☐ No |
+| Social support | ☐ Yes ☐ No |
+| Religious/spiritual beliefs against suicide | ☐ Yes ☐ No |
+| Responsibility for children/pets | ☐ Yes ☐ No |
+| Fear of death/pain | ☐ Yes ☐ No |
+| Engaged in treatment | ☐ Yes ☐ No |
+| Therapeutic alliance | ☐ Yes ☐ No |
+
+### Suicide Risk Level
+
+☐ **Low Risk** - No current ideation, few risk factors, strong protective factors
+☐ **Moderate Risk** - Ideation without plan/intent, some risk factors, some protective factors
+☐ **High Risk** - Ideation with plan, intent, access to means; multiple risk factors; few protective factors
+☐ **Imminent Risk** - Immediate danger, requires 1:1 observation
+
+---
+
+## Violence/Homicide Risk Assessment
+
+### Current Homicidal/Violent Ideation
+
+| Question | Response |
+|----------|----------|
+| Are you having thoughts of hurting someone else? | ☐ Yes ☐ No |
+| Is there a specific person? | ☐ Yes ☐ No |
+| If yes, identify: | |
+| Do you have a plan to harm this person? | ☐ Yes ☐ No |
+| Do you have access to weapons? | ☐ Yes ☐ No |
+| Do you intend to act on these thoughts? | ☐ Yes ☐ No |
+
+### Historical Risk Factors
+
+| Factor | Present |
+|--------|---------|
+| History of violence | ☐ Yes ☐ No |
+| History of weapons use | ☐ Yes ☐ No |
+| Criminal history | ☐ Yes ☐ No |
+| History of impulsive behavior | ☐ Yes ☐ No |
+| Childhood conduct disorder | ☐ Yes ☐ No |
+| Victim of abuse/violence | ☐ Yes ☐ No |
+
+### Clinical Risk Factors
+
+| Factor | Present |
+|--------|---------|
+| Command hallucinations (violence) | ☐ Yes ☐ No |
+| Paranoid delusions | ☐ Yes ☐ No |
+| Manic symptoms | ☐ Yes ☐ No |
+| Active substance use | ☐ Yes ☐ No |
+| Medication non-adherence | ☐ Yes ☐ No |
+| Lack of insight | ☐ Yes ☐ No |
+
+### Situational Factors
+
+| Factor | Present |
+|--------|---------|
+| Active interpersonal conflict | ☐ Yes ☐ No |
+| Perceived threats | ☐ Yes ☐ No |
+| Access to potential victims | ☐ Yes ☐ No |
+| History with identified target | ☐ Yes ☐ No |
+
+### Violence Risk Level
+
+☐ **Low Risk** - No ideation, few risk factors
+☐ **Moderate Risk** - General ideation, some risk factors
+☐ **High Risk** - Specific ideation, identified target, plan, multiple risk factors
+
+### Duty to Warn/Protect
+
+| Field | Entry |
+|-------|-------|
+| Is there an identifiable potential victim? | ☐ Yes ☐ No |
+| Has duty to warn been triggered? | ☐ Yes ☐ No |
+| If yes, actions taken: | |
+| Notification date/time: | |
+| Law enforcement notified? | ☐ Yes ☐ No |
+| Potential victim notified? | ☐ Yes ☐ No |
+
+---
+
+## Self-Harm Risk Assessment
+
+| Question | Response |
+|----------|----------|
+| Are you having urges to hurt yourself (without suicidal intent)? | ☐ Yes ☐ No |
+| Method typically used: | |
+| When did you last engage in self-harm? | |
+| What triggers self-harm urges? | |
+| How do you typically cope with these urges? | |
+
+---
+
+## Elopement/AWOL Risk
+
+| Factor | Present |
+|--------|---------|
+| Expressed desire to leave AMA | ☐ Yes ☐ No |
+| Involuntary admission status | ☐ Yes ☐ No |
+| History of elopement | ☐ Yes ☐ No |
+| Agitation or restlessness | ☐ Yes ☐ No |
+| External pressures to leave | ☐ Yes ☐ No |
+| Poor insight into need for treatment | ☐ Yes ☐ No |
+
+### Elopement Risk Level
+
+☐ Low ☐ Moderate ☐ High
+
+---
+
+## Fall Risk Assessment
+
+| Factor | Points | Present |
+|--------|--------|---------|
+| Age 65+ | 2 | ☐ |
+| History of falls | 3 | ☐ |
+| Impaired gait/balance | 2 | ☐ |
+| Psychotropic medications | 2 | ☐ |
+| Sedation | 2 | ☐ |
+| Confusion/disorientation | 2 | ☐ |
+| Sensory impairment | 1 | ☐ |
+| Toileting frequency | 1 | ☐ |
+| **Total Score** | | |
+
+**Risk Level:** ☐ Low (0-4) ☐ Moderate (5-9) ☐ High (10+)
+
+---
+
+## Assigned Precautions
+
+### Observation Level
+
+☐ 1:1 Continuous (within arm's reach)
+☐ 1:1 Visual (constant visual)
+☐ Close observation (q5-15 min)
+☐ Routine observation (q15-30 min)
+☐ Open
+
+### Additional Precautions
+
+| Precaution | Ordered |
+|------------|---------|
+| Suicide precautions | ☐ |
+| Self-harm precautions | ☐ |
+| Violence precautions | ☐ |
+| Elopement precautions | ☐ |
+| Fall precautions | ☐ |
+| Seizure precautions | ☐ |
+| Aspiration precautions | ☐ |
+| Assault precautions | ☐ |
+
+### Environmental Modifications
+
+☐ Safety room (ligature-resistant)
+☐ Remove sharps from access
+☐ Remove potential ligature materials
+☐ Supervised shaving
+☐ Supervised meals (plastic utensils)
+☐ Other: _____________
+
+---
+
+## Plan
+
+**Immediate Safety Interventions:**
+
+**Recommended Observation Level:**
+
+**Rationale for Level:**
+
+**Reassessment Schedule:**
+☐ Every shift
+☐ Daily
+☐ Other: _____________
+
+---
+
+## Physician Review
+
+| Field | Entry |
+|-------|-------|
+| Physician Name | |
+| Date/Time Reviewed | |
+| Agrees with Assessment | ☐ Yes ☐ No |
+| Orders Modified? | ☐ Yes ☐ No |
+| Modifications: | |
+| Signature | |
+
+---
+
+## Reassessment Log
+
+| Date/Time | Assessor | Risk Level Change | New Observation Level | Signature |
+|-----------|----------|-------------------|----------------------|-----------|
+| | | ☐ Yes ☐ No | | |
+| | | ☐ Yes ☐ No | | |
+| | | ☐ Yes ☐ No | | |
+| | | ☐ Yes ☐ No | | |
+
+---
+
+*Form FRM-MHI-002 Rev 1.0 - Inpatient Safety Assessment*

Forms/FRM-001-Document-Change-Request.md

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+# Document Change Request Form
+
+| Form ID | FRM-001 | Revision | 1.0 |
+|---------|---------|----------|-----|
+
+---
+
+## Section 1: Request Information
+
+| Field | Entry |
+|-------|-------|
+| Request Date | |
+| Requested By | |
+| Department | |
+
+## Section 2: Document Information
+
+| Field | Entry |
+|-------|-------|
+| Document Number | |
+| Document Title | |
+| Current Revision | |
+
+## Section 3: Change Description
+
+### Type of Change
+- [ ] New Document
+- [ ] Revision to Existing Document
+- [ ] Document Obsolescence
+
+### Description of Change
+*(Describe the proposed change in detail)*
+
+
+
+
+### Reason for Change
+*(Explain why this change is needed)*
+
+
+
+
+## Section 4: Impact Assessment
+
+### Affected Areas
+- [ ] Training Required
+- [ ] Other Documents Affected
+- [ ] Process Changes Required
+- [ ] Validation Impact
+
+### List Affected Documents
+
+
+## Section 5: Approvals
+
+| Role | Name | Signature | Date |
+|------|------|-----------|------|
+| Requester | | | |
+| Document Owner | | | |
+| Quality Assurance | | | |
+
+---
+
+*Form FRM-001 Rev 1.0*

Forms/FRM-003-CAPA-Form.md

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+# Corrective and Preventive Action (CAPA) Form
+
+| Form ID | FRM-003 | Revision | 1.0 |
+|---------|---------|----------|-----|
+
+---
+
+## Section 1: CAPA Identification
+
+| Field | Entry |
+|-------|-------|
+| CAPA Number | |
+| Date Initiated | |
+| Initiated By | |
+| CAPA Owner | |
+| Target Closure Date | |
+
+## Section 2: Classification
+
+### Type
+- [ ] Corrective Action
+- [ ] Preventive Action
+
+### Source
+- [ ] Customer Complaint
+- [ ] Internal Audit
+- [ ] External Audit
+- [ ] Process Deviation
+- [ ] Nonconforming Product
+- [ ] Management Review
+- [ ] Other: ____________
+
+### Priority
+- [ ] Critical (5 business days)
+- [ ] Major (15 business days)
+- [ ] Minor (30 business days)
+
+## Section 3: Problem Description
+
+*(Describe the nonconformity or potential nonconformity)*
+
+
+
+
+## Section 4: Immediate Containment
+
+*(Actions taken to contain the immediate impact)*
+
+
+
+
+## Section 5: Root Cause Investigation
+
+### Investigation Method Used
+- [ ] 5 Whys
+- [ ] Fishbone Diagram
+- [ ] Fault Tree Analysis
+- [ ] Other: ____________
+
+### Root Cause Determination
+
+
+
+
+## Section 6: Corrective/Preventive Actions
+
+| Action | Responsible | Due Date | Status |
+|--------|-------------|----------|--------|
+| | | | |
+| | | | |
+| | | | |
+
+## Section 7: Effectiveness Verification
+
+| Criteria | Method | Result |
+|----------|--------|--------|
+| | | |
+
+Verification Date: ____________
+Verified By: ____________
+
+## Section 8: Closure
+
+| Role | Name | Signature | Date |
+|------|------|-----------|------|
+| CAPA Owner | | | |
+| Quality Approval | | | |
+
+---
+
+*Form FRM-003 Rev 1.0*

Forms/FRM-006-Audit-Checklist.md

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+# Internal Audit Checklist
+
+| Form ID | FRM-006 | Revision | 1.0 |
+|---------|---------|----------|-----|
+
+---
+
+## Audit Information
+
+| Field | Entry |
+|-------|-------|
+| Audit Number | |
+| Audit Date | |
+| Area/Process Audited | |
+| Lead Auditor | |
+| Auditee(s) | |
+
+---
+
+## Checklist Items
+
+| # | Requirement/Question | Reference | C/NC/NA | Evidence/Notes |
+|---|---------------------|-----------|---------|----------------|
+| 1 | Are current versions of applicable procedures available? | SOP-001 | | |
+| 2 | Are personnel trained on applicable procedures? | SOP-003 | | |
+| 3 | Are training records current and complete? | SOP-003 | | |
+| 4 | Are records properly maintained and retrievable? | SOP-001 | | |
+| 5 | Are nonconformities being documented and addressed? | SOP-002 | | |
+| 6 | Are CAPAs being completed on time? | SOP-002 | | |
+| 7 | Is equipment calibrated and maintained? | | | |
+| 8 | Are process controls being followed? | | | |
+| 9 | Are quality objectives being monitored? | | | |
+| 10 | | | | |
+
+**Legend:** C = Conforming, NC = Nonconforming, NA = Not Applicable
+
+---
+
+## Findings Summary
+
+| Finding # | Type | Description | Clause Reference |
+|-----------|------|-------------|------------------|
+| | | | |
+| | | | |
+
+---
+
+## Auditor Signature
+
+| Auditor | Signature | Date |
+|---------|-----------|------|
+| | | |
+
+---
+
+*Form FRM-006 Rev 1.0*

Forms/Training/FRM-004-Training-Record.md

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+# Training Record Form
+
+| Form ID | FRM-004 | Revision | 1.0 |
+|---------|---------|----------|-----|
+
+---
+
+## Section 1: Employee Information
+
+| Field | Entry |
+|-------|-------|
+| Employee Name | |
+| Employee ID | |
+| Department | |
+| Job Title | |
+
+## Section 2: Training Information
+
+| Field | Entry |
+|-------|-------|
+| Training Title | |
+| Training Date | |
+| Training Duration | |
+| Trainer Name | |
+| Trainer Qualification | |
+
+### Training Type
+- [ ] Initial Training
+- [ ] Retraining
+- [ ] Refresher
+- [ ] Procedure Update
+
+### Delivery Method
+- [ ] Classroom
+- [ ] On-the-Job
+- [ ] Self-Study
+- [ ] Computer-Based
+- [ ] Other: ____________
+
+## Section 3: Training Content
+
+*(List topics covered or attach training materials)*
+
+
+
+
+## Section 4: Assessment
+
+### Assessment Method
+- [ ] Written Test
+- [ ] Practical Demonstration
+- [ ] Verbal Assessment
+- [ ] Observation
+
+### Assessment Results
+
+| Metric | Result |
+|--------|--------|
+| Score (if applicable) | |
+| Pass/Fail | |
+
+## Section 5: Signatures
+
+| Role | Name | Signature | Date |
+|------|------|-----------|------|
+| Trainee | | | |
+| Trainer | | | |
+| Supervisor | | | |
+
+---
+
+*Form FRM-004 Rev 1.0*