Problem

Solution

Assessment

Feasibility

Importance

Efficacy

Total score

Result

Current transplantation-care standards do not cover the unique nature of allogeneic arm transplantation.

Formulation of allogeneic arm-transplantation-care standards (including the preparation of disinfection, infection-control materials for single-bed wards, and wound-care evaluation) based on transplantation-care standards

30

30

30

90

ü

Lack of clinical care experience

Design workshops and simulations to increase care experience.

21

30

18

69

ü

Lack of education and training

1. Conduct 2 continuing education courses (including postoperative care, immunosuppressant awareness) and make videos.

30

30

30

90

ü

2. Stipulate that colleagues must undergo 2 e-learning courses on allogeneic arm transplantation every year.

18

18

18

54

Lack of allogeneic arm-transplantation- care leaflets

1. Formulate allogeneic arm-transplantation postoperative-monitoring forms (including temperature, color, capillary filling, Doppler, SPO2) according to skin-flap-care monitoring forms

30

30

30

90

ü

2. Formulate allogeneic arm-transplantation postoperative health-education-forms (including transplanted-arm care precautions, dietary and infection control precautions, and key points of immunosuppressant treatment) according to skin-flap care health-education leaflet

30

30

30

90

ü

Lack of periodic audit

1. Stipulate that audits for allogeneic arm-transplantation care accuracy must be carried out twice per academic year (including infection control, immunosuppressant, and transplanted-arm abnormality evaluation)

23

23

20

66

ü

Lack of related models or videos (e.g., prosthetic hand, photographs) for simulated scenario teaching

1. Record videos on allogeneic arm-transplant care (including infection-control preparations and transplanted-arm wound evaluation)

30

30

30

90

ü