Cognitive Aids

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.

Sara Godhaber-Fiebert, MD

For any simulation questions, feel free to contact Sara Godhaber-Fiebert.