背景:器官與組織移植越來越普遍，但相對的，若處理不當，感染的風險也越高。經查核執行骨骼與組織銀行存取作業的正確率僅達80%，為維護捐贈者愛心及受贈患者之安全，因此引起專案改善之動機。目的:藉由手術室骨骼與組織銀行存取作業之改善，讓護理人員對於相關作業更加熟悉，提昇護理人員執行存取作業之正確技能，以保障手術病人的安全。解決方案 藉由舉辦教育訓練、建立骨骼韌帶存取操作步驟標準作業、定期執行骨骼與組織銀行設施維護、發展異常排除及因應辦法，並建立定期稽核機制各方面來著手改善。結果:骨骼與組織銀行存取作業認知得分正確率由81%提升至100%；操作正確率由80%提升至100%。結論:骨骼與組織銀行存取作業改善方案，讓同仁更重視人體器官保存庫之存取作業及設施維護的安全正確觀念，讓捐贈者的愛心得以延續及保障受贈患者之安全。

Background: Organ and tissue transplantation are now commonly preformed procedures. Improper organ bank han-dling procedures may increase infection risks. Execution accuracy in terms of tissue storage and distribution at our bone bank was 80%. We thus proposed an execution improvement project to enhance procedures in order to fulfll the
intent of donors and ensure recipient safety. Purpose: This project was designed to raise nurse professionalism, and ensure patient safety through enhanced tissue storage and distribution procedures. Resolution: Education programs developed for this project focus on teaching standard operating procedures for bone and ligament storage and distribution, bone bank facility maintenance, trouble shooting and solutions, and periodic in-spection systems. Results: Cognition of proper storage and distribution procedures rose from 81% to 100%; Execution accuracy also
rose from 80% to 100%.Conclusions: The project successfully conveyed concepts essential to the correct execution of organ storage and dis-
tribution procedures and proper organ bank facility management. Achieving and maintaining procedural and manage-ment standards is crucial to continued organ donations and the recipient safety.