The Emergency Manuals Implementation Collaborative (EMIC) fosters adoption and effective use of emergency manuals to enhance our patients’ safety. Our initial focus is perioperative care, while sharing our lessons with other fields of healthcare.
Our goals are to:
1. Provide a framework for clinicians and teams to train for, manage, debrief, and report critical events.
2. Embed the effective clinical use of emergency manuals into patient care.
3. Build a community to share tools, overcome barriers, and facilitate implementation.
4. Provide resources to improve care in dynamic fields of healthcare with high intrinsic hazard.

There has been continued interest in assessing the impact of these tools on performance and outcomes. For better or worse, here are some recent studies.
Almoite-Eeles, S., & Foran, P. (2024). Barriers to and facilitators of using cognitive aids in perioperative emergencies: An integrative review. Journal of Perioperative Nursing, 37(1), 41–47, s3–s9. https://doi.org/10.26550/2209-1092.1317
Yun-Yun K. Chen, Demian Szyld, Justin T. Clapp, Marc P. Pimentel, Kara G. Fields, Aubrey L. Samost-Williams, Sarah Payne, Alexander Hannenberg, Angela M. Bader, Alexander F. Arriaga, Crisis checklist for critical event debriefings: Findings from a mixed-methods study, JCA Advances,Volume 1, Issues 3–4, 2024, 100057, ISSN 2950-5534, https://doi.org/10.1016/j.jcadva.2024.100057.
Yan L, Karamchandani K, Gaiser RR, Carr ZJ. Identifying, Understanding, and Minimizing Unconscious Cognitive Biases in Perioperative Crisis Management: A Narrative Review. Anesth Analg. 2024 Jul 1;139(1):68-77. doi: 10.1213/ANE.0000000000006666. Epub 2024 Oct 24. PMID: 37874227.
van Haperen, M., Kemper, T. C. P. M., Koers, L., van Wandelen, S. B. E., Waller, E., de Klerk, E. S., Eberl, S., Hollmann, M. W., & Preckel, B. (2024). A Comparative Analysis of the Impact of Two Different Cognitive Aid Bundle Designs on Adherence to Best Clinical Practice in Simulated Perioperative Emergencies. Journal of Clinical Medicine, 13(17), 5253. https://doi.org/10.3390/jcm13175253
Dryver E, Olsson de Capretz P, Mohammad M, Armelin M, Dupont WD, Bergenfelz A, Ekelund U. Clinical use of an emergency manual by resuscitation teams and impact on performance in the emergency department: a prospective mixed-methods study protocol. BMJ Open. 2023 Oct 17;13(10):e071545. doi: 10.1136/bmjopen-2022-071545.