Recently, volunteer activities have been widely spread throughout Japan. However, because the standard regulation for safety management of volunteer activities in Japanese hospitals was not established, many of them feel trouble and difficulty when they introduce and manage the volunteer workers and their activities. Coping with this problem, in our hospital, we constructed the three-layer-direction system which was structured by the committee of quality management to work out the policy, the working group for volunteer services to carry on the projects and the volunteer coordinators for practical task. This system plays a role in the function of the volunteer directors in US. Additionally, we defined the significance of volunteer activities in hospital to make sense of the irreplaceable existence in each other with “Co-Presence”. Then, in this context, we pointed out the three potentials of volunteer activities; one is the possibility to activate the relationship in the hospital-community, second one is the will to act against the suppressed power of the institutions, and the last one is the ability to explore the new way extend outward of the framework of the institutions. Furthermore, we suggested that to create the system of support-services for volunteer activities was most important and critical for the purpose of continuous quality improvement and total quality management.
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