Background: The Accreditation Document Management System Application (SISMADAK) is an application to help hospitals in the hospital accreditation process. This application was made by the Hospital Accreditation Commission (KARS), which aims to prepare for hospital accreditation by collecting, storing, and retrieving evidence documents related to accreditation. This was done because almost 80% of hospitals had problems preparing documents for accreditation, which were still done manually. In the search for documents, it is often too late, and it is often found that the documents are scattered or damaged due to time constraints in checking all documents owned by the hospital.
 Objective: The purpose of this study was to find out the implementation of the accreditation document management system (SISMADAK) in hospitals.
 Methods: This study employed a literature review conducted on national and international journals published online between 2016 - 2022 and found 11 journals for the literature review. Hospital accreditation document management system, accreditation, hospitals (man (human resources), material-machine (facilities and infrastructure), method (method), market (environment), money (finance), and time (financial) are some of the keywords used. 
 Results: The implementation of the Accreditation Document Management System (SISMADAK) at the hospital is carried out by collecting, processing, and storing data carried out by the sismadak admin officer which must be filled in the daily quality indicator form and then documented so that reporting records will be stored automatically the achievement of reporting results during the implementation of the sismadak program is carried out already good. Human resources in fulfilling SISMADAK there are still many sismadak admin officers who do not understand and forget how to operate the sismadak program. There is no budget so that SISMADAK administrative officers are lazy and do not focus on inputting accreditation reporting data. The necessary facilities are complete but the obstacles experienced by SISMADAK officers are the lack of stability of the internet network.
 Conclusion: Hospitals should have a special officer who will input the Accreditation document data at SISMADAK. Officers are also given regular training related to the system used so that there are no obstacles when filling out the SISMADAK. Hospitals are also expected to improve the quality of the internet network so that the internet network is stable.