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The Donation Improvement Program(DIP), a kind of donor action program in Korea was implemented in general hospital since 2012. Among the 573 deceased donors in 2016, more than 64% were donated from the hospitals of DIP agreement with KODA.In order to evaluate the effectiveness of DIP in each hospital, we analyzed the results of medical record review(MRR) and hospital attitude survey(HAS) which were conducted at 6 months before agreement of DIP, one and two-year interval after agreement, over four-year agreement. MRR were done in total 30,062 cases between 2012 through 2016 to detect recognition and donation rate of each center. HAS were carried out as a survey at the starting point of DIP (948 medical staffs of 23 hospitals in 2012) and in 2016(3,026 medical staffs of 69 hospitals).Recognition rate of potential brain death were 24.4%, 61.4%, 73.9% respectively, 6 months before agreement, 1 year and 2 year after agreement, over 4 year after agreement. Donation rate of each period were 7.4%, 12% and 16.5% respectively. Attitude of medical staff about ability to identify potential brain death was 38.8% in 2012 and is increased to 58.2% in 2016. Among the group who have a knowledge and ability to identify brain death participate the identifying process (29.8%) more than the group who has no knowledge and ability (6.9%). Also, the percentage of education experience of medical staffs with knowledge and ability to identify brain death was 3.5 times higher than groups without ability.DIP has a positive effect in increasing the recognition of brain death and organ donation rate. And those medical staffs who changed positively have a tendency to participate donation process more. Knowledge and ability of medical staffs are affected by educational experience and showed closely related in participation of donation process.