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Motivation: Fire prevention is critical in an intensive care unit because it is a special environment with many instruments and pieces of equipment and numerous immobile patients in critical conditions who depend on breathing devices. Problems: In August 2014, an unused extension cord under a patient's bed in an intensive care unit accidentally caused a fire. Fortunately, the fire was extinguished within 20 seconds and did not cause a disaster. We investigated the current status of fire safety and discovered a lack of a standard procedure and audit system for extension cords, no relevant in-service education training, and insufficient awareness among staff members of the safety of the environment with respect to electricity. Purpose: To improve electricity safety management for health care workers in an intensive care unit to ensure patient safety. Solutions: The establishment of electricity safety management methods, the provision of relevant on-the-job education, the establishment of electricity safety checkpoints, and the implementation of auditing units concerning the electricity environment. Results: Electricity safety increased from 8.3% at the initial inspection to 97%, and electricity safety awareness was achieved among the staff. The correct response rate rose from 37.1% to 95.2%. Conclusion: Through this project, electricity safety and electricity safety awareness among personnel increased, creating a safe environment to ensure patient safety. This project can provide a reference for how to reduce the risk of fire incidents in a hospital intensive care unit. [ABSTRACT FROM AUTHOR]