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.

Watkins SC, de Oliveira Filho GR, Furse CM, Muffly MK, Ramamurthi RJ, Redding AT, Maass B, McEvoy MD. The Effect of Novel Decision Support Tools on Technical and Non-Technical Performance of Teams in Managing Emergencies. J Med Syst. 2022 Oct 5;46(11):75. doi: 10.1007/s10916-022-01866-4. PMID: 36195692.

Sellmann T, Alchab S, Wetzchewald D, Meyer J, Rassaf T, Thal SC, Burisch C, Marsch S, Breuckmann F. Simulation-based randomized trial of medical emergency cognitive aids. Scand J Trauma Resusc Emerg Med. 2022 Jul 11;30(1):45. doi: 10.1186/s13049-022-01028-y. PMID: 35820939; PMCID: PMC9277856.

Herman JA, Urman RD, Urits I, Kaye AD, Viswanath O. The presence of an emergency manual and team performance during a perioperative crisis. J Clin Anesth. 2022 Aug;79:110152. doi: 10.1016/j.jclinane.2020.110152. Epub 2020 Dec 1. PMID: 33277140.

Dryver E, Lundager Forberg J, Hård Af Segerstad C, Dupont WD, Bergenfelz A, Ekelund U. Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. BMJ Qual Saf. 2021 Sep;30(9):697-705. doi: 10.1136/bmjqs-2020-012740. Epub 2021 Feb 17. PMID: 33597283.