About 70% of patients will have the sign of vital signs and clinical symptoms 8 hours before the heartbeat stops. However, only 25% of patients will be detected in advance. Early detection and treatment can reduce unexpected emergency events. From 2019/09/01 to 2019/11/30, E-TA Hospital performed the "Quick Response Reporting Cognition Questionnaire" and "Quick Response Reporting Operation Checklist", and the situation simulation actual exercise method was used to divide the patients into 3 sessions with the same symptoms, and 22 nurses were actually assessed and observed rapid response notification cognition and operation. The result showed that 1) Compare the cognition rate of rapid response notification before and after improvement: Before 50% increasing to 100% After. 2) Compare and improve the quick response notification operation: Before 25% increasing to 100% After. 3) Compare the incidence of emergency cardiac arrest : Before 0.15 increasing to 0.02 After.