目的：施行急救的目的是挽救病人生命，若能早期發現高危險群病人，更能即時挽救生命。本心臟內科病人的非預期心跳停止急救的發生率為全院之冠，引發找出有效改善策略，降低心臟內科病人非預期心跳停止急救的發生率。方法：執行專案期間為2014年06月至2015年04月，透過跨團隊合作分析與確立非預期心跳停止要因，擬定改善策略，制作異常警訊個案篩檢表、異常警訊通報標準與處理及舉辦教育訓練等。結果：在醫護團隊共同推動下，病人非預期心跳停止急救的發生率由0.39%降至0.03%，達到專案目的。結論：透過跨醫療團隊合作是本專案降低非預期心跳停止急救發生率的主因，除了提升醫護人員的知能，還改善急救篩檢的標準、流程和處理，施行的過程可作為其他專科改善的參考。

Objectives: Resuscitation after cardiac arrest saves lives despite the increase in medical expenditure for these patients [E&J1]. In our hospital, the risk of unexpected cardiac arrest is highest in cardiology wards. The aim of this study was to establish a standard protocol in order to reduce unexpected cardiac arrest events in our wards. Methods: From June 2014 to April 2015, the policy included integration of interdisciplinary professional services, a review of the present situation and plans to improve it, provision of adequate employee education and training, the creation of screening checklists for high-risk cases, and the development of a system to report alarms. Results: The policy effectively reduced rate of unexpected cardiac arrests needed resuscitation from 0.39% to 0.03% in our cardiology wards. Conclusions: Interdisciplinary cooperation was central to this project and the principal reason for the reduction in unexpected cardiac arrests. It not only enhanced professional competence, but also improved the standard protocol and the management of resuscitation screening.