Early preparations for discharge can allow patients to return home or go to care institutions smoothly, reducing unnecessary medical expenses. In 2018, the average duration of hospitalization for patients undergoing laparotomy was three days longer than that of 2017. The reasons were as the follows: the patient or caregiver was only 75.5% correct in home care, only 13.3% got out of bed for the first time in three days after surgery, and the daily calorie intake failed to meet the patients’ need, the family members were not ready to an unplanned discharge, and preparation to discharged to the care institution. Improvements includes the establishment of discharge standards and system prompts for discharge notice, revision of discharge preparation procedure, production of home care and education video files and QR Code, establishment of activity plan, addition tools for getting out of bed, establishment of laparotomy surgery patient recipes. The average duration of hospitalization was reduced from 13.5 days to 10.3 days. The effectiveness of this project can provide hospitals for reference.