Objective: In order to increase the level of satisfaction of the surgical care team on duty, we set out to improve communications and link the health care team in order to enhance the effectiveness of care, and to work more efficiently. Methods: We strengthened the use of ISBAR (Introduction, Situation, Background, Recommendation, Assessment) and created an electronic shift change system in order to establish a positive health care plan (Ai-Ni-Ou means "love you" in Chinese) and used cards to remind personnel to care for each other. A Likert-type scale measured satisfaction with duty before and after implementation of the project. Results: The average score improved from 56.02% (before) to 67.95% (after) and the average improvement rate was 21.77% when the hope was 20%. Participation in the signaling link by attending physicians and nurse practitioners reached 100% using the hospital’s desktop computers or personal i-Pads. Conclusion: The team resource management concept promoted communications between team members, established emotional links, and increased the level of satisfaction with duty.