The Stanford Emergency Manual for Perioperative Critical Events (SEM) is available cost-free to all, for

non-commercial clinical and educational use. Since 2012, the SEM, developed and iteratively tested by the Stanford Anesthesia Cognitive Aid Group, is used both locally and globally:

• Downloaded by >50,000 clinicians in English
• Translated into 7 languages
• Global translations downloaded by >500,000 clinicians, with reports of helping patients globally
• Implemented at many leading institutions across the US and world.
• The SEM has been useful in enabling teams to provide optimal patient care:
  • during evolving crises
  • pre-event planning for at-risk patients
  • post-event debriefing
  • Education: self-review (including oral boards’ prep) and simulation-based training (including interprofessional)

Emergency Manuals Implementation Collaborative (EMIC) is an inter/national organization

• Steering committee includes leaders from Stanford, Harvard, and multiple other institutions who work together to enable effective implementations
• Co-founded in 2013 by Dr. Sara Goldhaber-Fiebert and Dr. Bill Berry
• EMIC provides implementation and training resources, including AHRQ-funded implementation toolkit.
• Links to many cost-free tools that are downloaded globally for use during crises and for education.
• Annotating the literature, including other safety-critical industries, healthcare simulation-based studies, and nascent clinical studies. These have shown the positive impacts of using emergency manuals (aka crisis checklists or cognitive aids) and best-practices for how to use them effectively.