Objective – This article aims to analyze aspects related to the challenges and results arising from the accreditation process and their relationship with perceived hospital organizational performance. Methodology – The sample was made up of 88 respondents from hospital organizations in the South region of Brazil, being collected for accessibility and convenience. Canonical correlation analysis was used to process and analyze the data. Originality/relevance – The importance and contribution of this study lies in exploring how challenges and outcomes interrelate with perceived hospital performance, thus shedding light on related topics. Results – The results obtained with the accreditation process are correlated with the perceived hospital organizational performance (H1), as the strength of association between the dimensions presented a high and significant coefficient of variation (0.869 – p-value of 0.000), a canonical R2 of 0.755 considerable and Wilks' Lambda (0.242) close to zero. In contrast, aspects related to challenges arising from the accreditation process (H2) did not demonstrate a statistically significant relationship. Theoretical contributions – Contributed to the proposition of a model to analyze perceived performance and its relationship with the challenges and results originating in the process of implementing and maintaining the hospital accreditation method. Contributions to management – Pragmatically, the study allows managers to understand which attitudes and actions can create obstacles in the implementation and maintenance of accreditation and interpret which processes and practices must be maintained permanently.

Objective: To examine the context of Hospital Accreditation Programs (HAPs) in Low- and Middle-Income Countries (LMICs): 1) training of health staff; 2) training and professional development for accreditation surveyors. Design: Qualitative study Setting: Thirty purposively selected representatives from national HAPs and international accreditation and funding agencies were interviewed using a semi-structured guide. Main Outcome Measures: Methods, importance, competencies, challenges and innovative strategies of training health staff and surveyors in HAPs in LMICs Results: Staff competencies are important for quality improvement (QI) and maintaining organisational and quality culture. Innovative strategies included training of internal assessors and initial pre-assessment training. Maintenance of competencies amidst staff turnover was reported as a major challenge. Surveyor training usually includes in-person didactic training, practical skills-based experiential training, observation of surveys, and refresher training. Required competencies were based on facilitating QI, assessment methodologies, and report writing. Reported challenges were a lack of time for training. Innovative strategies included virtual training and annual conferences. Conclusions: Training of staff and surveyors is an important component of effective and viable hospital HAP implementation in LMICs. Global programs follow comparable strategies for staff and surveyor training. This research has identified several innovative strategies, which could be further developed, evaluated and disseminated.

Accreditation has played a critical role in strengthening safety and quality across Australia’s hospitals since the introduction of the NSQHS Standards in 2013. [1] Over this time, hospitals have increasingly relied on accreditation not only as a compliance requirement but as a framework for cultural and system-wide improvement. The health system continues to evolve rapidly, with digital technologies, regulatory changes, increased transparency expectations and more complex care pathways reshaping how care is delivered. These shifts imply the need for accreditation to continue evolving. This brief outlines emerging directions for hospital accreditation in Australia and identifies opportunities to further support continuous, consumer-centred and digitally enabled care.

Hospital accreditation serves as a systematic approach to improving the quality of healthcare services and ensuring patient safety. The success of such programs depends heavily on the awareness, attitude, and perception of healthcare providers, particularly nurses. This study, conducted in 2024 at Imam Khomeini Educational-Therapeutic Hospital in Khalkhal, assessed these factors among 156 nurses using a self-administered questionnaire. The results revealed that the mean scores for knowledge, attitude, and perception were 25.66 (SD = 8.38), 26.23 (SD = 8.91), and 31.58 (SD = 9.53), respectively. Most participants were female (73.7%), held a bachelor’s degree (98.1%), and were aged between 30 and 40 years. Knowledge levels varied significantly with age and education, with nurses aged 40–50 and those with postgraduate qualifications demonstrating higher scores. Attitudes toward accreditation were more positive among male nurses, those aged 30–40, and those with less than five years of experience. Interestingly, perception scores were highest among nurses with more than ten years of work experience. These findings suggest that while general awareness of accreditation was moderate, attitudes and perceptions were relatively favorable, particularly among specific demographic subgroups. Given that the effectiveness of accreditation relies on informed and engaged nursing staff, these variations highlight the need for targeted interventions, such as continuous education and motivational programs, to improve knowledge levels and sustain positive attitudes across all groups. Strengthening these areas is essential for the successful implementation of accreditation standards and for driving continuous quality improvement in hospital care.

Expression of concern: Role of a hospital accreditation program in developing a process management system: a qualitative study.

Examining the impact of perceived hospital accreditation quality standards on patient loyalty: A Stimulus-Organism-Response theory perspective

Background: The management of hazardous and toxic materials is an essential component of Hospital Occupational Safety and Health standards. In addition, it is included in the Hospital Accreditation Standards, specifically in Facility and Safety Management Standard No. 5. However, in practice, some hospitals—including Hospital X—still do not meet these requirements. Objectives: This study aims to evaluate the implementation of facility and safety management standard elements related to hazardous and toxic materials at Hospital X in order to provide appropriate recommendations for improvement. Methods: This study employed a descriptive observational design. Data were collected through observations and interviews with relevant staff across 15 service units assessed against the facility and safety management standard elements for hazardous and toxic materials, as outlined in the Ministry of Health Regulation No. HK.01.07/MENKES/1596/2024. The study was conducted from June to August 2025 at Hospital X. Results: Service units that met the facility and safety management standard elements for hazardous and toxic materials (>80%) included radiology (87.50%), hemodialysis (95.65%), pharmacy (95.65%), laundry (95.65%), Occupational Safety and Health (OSH) & sanitation (95.65%), emergency department (91.30%), central surgical unit (91.20%), and Intensive Care Unit (ICU) (91.30%). Units that did not meet the standard elements (<80%) were nutrition (39.13%), laboratory (65.21%), inpatient care (60.86%), outpatient care (65.21%), forensic (60.86%), medical rehabilitation (34.78%), and IPSRS (34.78%). Conclusion: Only 8 out of 15 service units met the facility and safety management standard elements for hazardous and toxic materials. Therefore, improvement efforts should prioritize the provision of MSDS, proper material inventory recording, classification-based labeling, and chemical segregation according to their characteristics.

ABSTRACT This study develops a multi-criteria decision-making (MCDM) framework to prioritize supply chain management practices (SCMPs) aimed at overcoming barriers to achieving net-zero emissions (NZE) in Thailand’s healthcare sector. Grounded in an extensive literature review and guided by three strategic management theories: resource-based view (RBV), resource dependency theory (RDT), and institutional theory (INT), this research identifies twelve key barriers across intra-organizational, inter-organizational, and institutional dimensions, along with nine essential SCMPs. To evaluate the relationships and importance of these barriers, the study employs integrates the fuzzy Einstein-based logarithmic methodology of additive weights (fuzzy Einstein-LMAW) for weight computation. Cumulative prospect theory (CPT) is utilized within a q-rung orthopair fuzzy sets (q-ROFS-CPT) framework to rank the SCMPs. Findings reveal that the most significant barrier is the ‘fragmented supply chain’, followed by ‘limited visibility and data transparency’ and the ‘absence of a nationwide NZE healthcare industry standard’. The highest priority SCMP is ‘integrating NZE with hospital accreditation standards’, succeeded by ‘supplier collaboration’ and ‘sustainable supply chain knowledge management’. These insights aid healthcare managers in refining policies and developing roadmaps for NZE adoption, while also providing a foundation for academia to explore context-specific barriers and formulate tailored SCMP strategies across different healthcare settings.

According to the National Hospital Accreditation Standards (2017), pain documentation is a record of pain felt by patients, carried out by the medical team, especially nurses. Documentation of pain assessment is useful for understanding the patient's response to the provision of care, treatment, and services and to determine whether the care decisions given are adequate and effective. This study aims to determine the correlation between the level of staff nurses’ knowledge and attitude about pain management and compliance with pain assessment documentation in patients at the Inpatient Installation in RSUD Rejang Lebong Regency of Bengkulu Province in 2024. The method in this study used a cross-sectional design. The population in this study were all staff nurses in at the Inpatient Installation in RSUD Rejang Lebong Regency, totaling 84 people. The sample was taken using the Total sampling method with a sample of 84 respondents. Data collection was obtained from respondents according to the number of samples that had been determined. The results of the univariate analysis showed that most of the respondents 53 (63.1%) had good knowledge and attitudes about pain management, most of the respondents 59 (70.2%) had compliance with pain assessment documentation, and almost half of the respondents answered that nurse interaction with patients was lacking (46.3%). The results of the bivariate analysis explained that the analysis of the correlation between the level of staff nurses’ knowledge and attitude about pain management and compliance with pain assessment documentation in patients at the Inpatient Installation in RSUD Rejang Lebong Regency in 2024 was seen using the Chi- Square test (Pearson Chi-Square) obtained a p value = 0.001, because the p value ≤ 0.05 then the decision taken was Ha accepted and H0 rejected, therefore the conclusion: there is a significant correlation between the level of staff nurses’ knowledge and attitude about pain management and compliance with pain assessment documentation in patients at the Inpatient Installation in RSUD Rejang Lebong Regency in 2024.

Centralization of abdominal aortic aneurysm (AAA) care is widely promoted by societal guidelines and patient-safety organizations due to the well-established inverse relationship between procedural volume and outcomes. However, consistent regionalization remains difficult to achieve globally, as patient- and provider-level factors, economic considerations, and geographic barriers vary widely across different countries and care delivery models. As new aortic programs emerge, it remains unclear whether newly founded centers - particularly those staffed by experienced surgeons - can achieve outcomes comparable to high-volume institutions, and whether these centers should be excluded from providing AAA care. This study evaluates short- and mid-term outcomes of elective AAA repair at a newly established vascular surgery center. We conducted a retrospective analysis of prospectively collected data from consecutive patients who underwent elective infrarenal intact AAA repair between 2020-2024. Primary outcomes included in-hospital and late mortality, as well as major adverse cardiovascular events (MACE). A total of 129 patients underwent elective AAA repair: 110 received endovascular aneurysm repair (EVAR) and 19 underwent open surgical repair (OSR). Experienced surgeons (defined as >7-years of independent practice and >150 prior AAA repairs) performed 75% of cases. EVAR was associated with significantly shorter operative time (110 vs. 180 minutes, P<0.001), less blood loss, and reduced hospital stay (4 vs. 9 days, P<0.001). The overall 30-day mortality was 1.5%, with no significant difference between EVAR and OSR groups. The 30-day MACE rates were significantly different between groups (0.9% in EVAR vs. 10.5% in OSR group, P=0.01). Acute kidney injury (AKI) occurred in 8.2% of EVAR patients and in 21% of OSR patients (P=0.19), with no progression to end-stage kidney disease. EVAR was associated with a non-significant trend towards lower 30-day MACE (OR 0.10, 95% CI: 0.004-2.29, P=0.15). Multivariable analysis demonstrated that EVAR was associated with significantly lower likelihood of AKI (OR 0.11, 95% CI: 0.02-0.52, P=0.005) while age ≥80 was associated with increased AKI risk (OR 3.78, 95% CI: 0.98-14.58, P=0.05). Mid-term outcomes showed no significant differences in AAA-related mortality or reintervention rates between groups. Elective AAA repair at a newly established vascular center staffed by experienced surgeons is safe and effective, demonstrating low rates of MACE and mortality. These findings suggest that AAA care can be successfully provided outside traditional high-volume centers, supporting a more flexible approach to hospital and surgeon accreditation that also considers provider experience rather than volume thresholds alone.

The Joint Commission (TJC) has historically supplemented its hospital accreditation standards with a set of “super standards” focused on patient safety—formerly known as the National Patient Safety Goals and now titled the National Performance Goals™ (NPGs). The recently added a goal addressing nurse staffing as a patient safety function has drawn significant national attention. Given potential uncertainty regarding how this new goal may influence stroke center certification, this article clarifies the distinction between accreditation and certification standards and offers guidance for stroke program leaders in interpreting and responding to this development. Because TJC evaluates compliance with NPGs during certification surveys, TJC certified programs should expect greater focus on staffing adequacy in future reviews. Additionally, Det Norske VeritasHealthcare (DNV) and Accreditation Commission for Health Care (ACHC, formerly HFAP) incorporates similar standards within its hospital accreditation framework and/or Conditions of Participation (CoPs). Understanding these standards position stroke programs across accrediting bodies to proactively align staffing strategies with national safety priorities.

Background: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment.

This study analyzes factors and challenges associated with adverse events reporting in Indonesian hospitals. The mixed-method study design was used. The quantitative stage is analyzing data from the 2019 Health Facilities Research. The population in this stage is all hospitals in Indonesia, with a sample of 532 hospitals. Data were analyzed using the χ2 test and logistic regression. The qualitative stage, semi-structured interviews were conducted with participants from 6 hospitals in 2 provinces. The data were validated using the triangulation method and analyzed using thematic analysis. Data were collected from September 2023 to April 2024. The existence of the infection control committee, quality committee, patient safety committee, internal audits, services evaluation and quality control, accreditation status, regional category, and number of beds has been positively associated with adverse events reporting in Indonesian hospitals. The implementation of accreditation standards, the roles of these committees, and evaluation and audit activities contribute to improving quality and patient safety, encouraging incident reporting, which ultimately can reduce adverse events. Challenges to reporting come from both individual and organizational aspects. These committees should be the main drivers in monitoring AE reporting and implementing evaluation and quality control. Enhancing the role of hospital accreditation through government support as a regulator is also necessary to improve reporting. The main challenge to reporting is the lack of willingness to report. Policymakers and hospital managers must urge to overcome these obstacles by developing an easy-to-use reporting system, eliminating negative perceptions after reporting, and providing appreciation.

Proper lighting in hospitals is essential for patient care and operational efficiency. This study assessed lighting compliance in a tertiary care hospital, considering both objective measurements and subjective evaluations. This observational study was conducted in various hospital departments, including operating theatre, intensive care unit (ICU), accident and emergency (A&E), and wards. Two methods were used: illuminance measurement with a lux meter and checklist-based compliance assessment. Results were compared to national standards (Bureau of Indian Standards, SP 72). The study found that over 90% of areas had lighting below the recommended standards. Operating theatre compliance was 20%, ICU compliance was 18%, and A&E had 0%. Compliance based on checklist assessment was highest in operating theatres (54%) and lowest in acute medical wards (12.5%). The study revealed significant gaps in hospital lighting compliance. The study suggests optimizing lighting placement and types (eg, light emitting diode (LEDs)) and incorporating lighting standards into hospital accreditation guidelines.

ObjectivesThe aim of the study is to estimate the cost of breast cancer diagnosis, treatment, and management in the Philippines. Specifically, it aims to identify the resource requirements and interventions related to breast cancer diagnosis, treatment, and management, measure resource volumes (number of units), learn to value resource items (unit costs), and determine the total cost of treatment per disease stage.MethodsThe study covered nine tertiary hospitals, seven of which were government hospitals and two were private hospitals, with all tertiary hospitals providing breast cancer services and accredited by Philippine Health Insurance Corporation (PHIC or PhilHealth) for the Z-Benefit Package. Interventions and services related to breast cancer included radiographic procedures, laboratory and imaging tests, chemotherapy drugs and medications, medical and surgical supplies, surgical rates (for breast surgery), accommodation, staff time and salary/professional fees, and other procedure fees. The study conducted in 2022, examined cost prices of breast cancer interventions and services from stage 1–3B.Purposive and convenience sampling were used based on PhilHealth accreditation and willingness of hospitals to participate in the study. The study conducted a focus group discussion with oncologists, radiologists, anesthesiologists, and other health care providers to validate the clinical guideline used and to solicit inputs to the costing design, analysis framework, and tools for data collection. Data collection of financial cost information (charge price) was conducted using a set of costing matrices filled out by the various departments of the hospitals. Costs and median rates were calculated across hospitals on diagnostics and imaging tests, surgery costs of both public and private facilities, medical treatment, and radiotherapy.ResultsBreast MRI, Breast Panel, and Chest CT Scan are the top 3 most expensive diagnostic procedures ranging from PhP 8,102.00 to PhP 9,800.00 per procedure. Surgical procedures for breast cancer at private hospitals and public hospitals showed huge differences in costs. The cost of a cycle of chemotherapy ranges from PhP 596.70 to PhP 3,700.00 per session, while the cost of targeted therapy can cost up to PhP 46,394.21 per session. A year of hormone therapy ranges from PhP 3,276.00 with the use of Tamoxifen, and up to PhP 68,284.00 with Goserelin. Aromatase inhibitors such as Anastrozole and Letrozole cost from PhP 18,000 to PhP 36,000, respectively. Multiple cycles depending on the diagnosis are prescribed per patient and used in combination with other chemotherapy medications or other therapies such as targeted therapy and hormone therapy are usually taken daily up to 5 to 10 years. Conventional radiotherapy can cost up to PhP 88,150.00 covering 28 sessions, CT simulation, and CT planning.ConclusionThis cost study provides relevant information and better perspective on benefit development for the PHIC, policy development for Department of Health on where and how to focus their support for the patient’s financial preparedness to address medical and financial catastrophes.PhilHealth needs to guide the health care providers of their costing method and to develop their own integrated, interoperable, and comprehensive cost data library.It recommends that the government allocate budget and cover for screening and assessment for earlier stage diagnosis of patients and lower health expenditure costs on cancer treatment.

Background: Patient safety is a crucial aspect in improving the quality of healthcare and reducing the risk of preventable injuries in hospitals. Incident data suggests that the quality of care still needs to be improved for safe and quality care. Purpose: To examine the implementation of the 2022 national hospital accreditation standards for patient safety goals at RSI PKU Muhammadiyah Pekajangan, evaluate the hospital’s efforts in reducing patient safety incidents, and assess patient satisfaction. Method: Qualitative phenomenological approach with in-depth interview techniques and triangulation. Informants consisted of 3 main informants and 5 triangulation informants. Results: Although the hospital has undertaken various initiatives to reduce risks and enhance patient safety, incidents related to patient safety continue to occur. Nevertheless, the implementation of patient safety measures appears to positively influence patient satisfaction. Survey results indicate an increase in patient satisfaction following the promotion of patient safety programs. Additionally, the hospital achieved a 91.67% score in meeting patient safety goals, reflecting substantial compliance with accreditation standards. The adoption of the Hospital Accreditation Standards in accordance with Ministry of Health Regulation No. 1128 of 2022 has also contributed positively to strengthening patient safety practices. Conclusion: Findings from in-depth interviews across the dimensions of structure, process, and outcomes indicate that, following accreditation, RSI PKU Muhammadiyah Pekajangan has consistently implemented the Hospital Accreditation Standards in accordance with Ministry of Health Regulation No. 1128 of 2022. A notable reduction in Near Miss (NM) incidents was observed, along with a high level of patient satisfaction. The achievement of full accreditation and adherence to the updated standards have had a positive impact on enhancing patient safety within the hospital.

Hospital Accreditation Standards: A Case Study from Egypt

Research on management tool appropriation examines either the components of the tool or its nature (open or closed) separately. This article aims to enhance understanding by combining both research streams. We combine two analytical frameworks: the four-dimensional model of tool appropriation (instrumental, political, cognitive, symbolic) and the concept of open and closed tools. Using a qualitative case study design, we examine the implementation of the Lebanese Hospital Accreditation System (LHAS) in a private hospital in Beirut from 2019 to 2020. Data were collected through 63 semi-structured interviews with 21 participants across three time periods. The study reveals that the successful appropriation of LHAS depends on alternating between open and closed tool modes. The symbolic and instrumental dimensions are primarily closed to ensure legitimacy and consistency, while the political and cognitive dimensions remain open to promote contextual adaptation and participation. This oscillation is guided by the dissemination of an organizing vision, actively shaped by the hospital's CEO and communicated by empowered middle managers. Our study addresses a significant research gap by combining two distinct yet complementary approaches to tool appropriation that are often treated separately. Our findings reveal a unique relationship between the four dimensions of the tool appropriation process and offer a more nuanced understanding of malleable tools. Our findings enhance appropriation guided by a deliberate organizing vision and offer insights for overcoming the paradoxes of openness and closure and avoiding inconsistencies and tensions that could lead to inertia or weak arrangements when tool appropriation is deployed in pluralistic organizations. The findings offer valuable insights for healthcare managers regarding the management of accreditation by maintaining consistency in core values while allowing flexibility in implementation. Transparent communication and empowering middle management are critical enablers. Our case allows us to suggest managerial implications that address the societal challenge of improving patient service quality. First, CEO leadership is essential for envisioning changes through daily activities. Second, CEOs should appoint and support middle managers in both spreading the vision and facilitating negotiations. The study introduces the concept of a "selectively open" management tool and highlights the dynamic interplay among various dimensions of appropriation. It contributes to the literature by bridging rationalist and constructivist perspectives while offering a nuanced view of organizational change in pluralistic contexts.

Background: Nebraska (NE) Infection Control Assessment and Promotion Program (ICAP) is supported by the Nebraska DHHS Healthcare-Associated Infection (HAI) program via a CDC grant and works to assess and improve infection prevention and control (IPC) programs in all types of healthcare facilities. CDC recommends that outpatient healthcare facilities (OHFs) develop and maintain IPC programs; however, littleis known about the infrastructure of IPC programs in OHFs. NE-ICAP performed onsite assessments to review the implementation of best practice recommendations (BPRs) in these programs. Method: Onsite IPC assessments were conducted in OHFs from January 2020 to February 2024. The assessment questions were based primarily on the CDC 2016 Infection Control Assessment and Response (ICAR) tool, complemented by the CMS Hospital Infection Control Worksheet. Assessments included interviews and onsite observations. A total of 66 BPRs were assessed for implementation. Descriptive statistics were calculated using Microsoft Excel for assessment responses and demographic information. BPRs were classified based on hospital affiliation, accreditation status (based on certification by recognized accrediting bodies), and urban-rural designation (based on USDA rural-urban commuting area codes). The chi-square test for independence was performed in SPSS 20 to assess for statistically significant differences across these categories using a threshold of p < 0.05. Result: A total of 19 OHFs had onsite assessments. 42.1% had external accreditation, 77.8% had at least one individual trained in infection prevention regularly available, and 36.8% were considered urban (figure 1). Domains with the lowest compliance (percentage of BPRs in place) included injection safety (48.8%), device reprocessing (49.7%), and personal protective equipment (51.8%). Notable BPRs associated with less than 35% compliance are listed in figure 2. Accredited facilities demonstrated greater compliance with BPRs related to device reprocessing. Conclusion: Important IPC gaps exist in OHFs. Onsite assessments are crucial for evaluating IPC program infrastructure and highlighting areas for improvement. Further studies are needed to understand why accreditation is associated with better compliance with BPRs and the factors contributing to its success.

The completeness of inpatient medical records plays a vital role in ensuring the quality of healthcare services and compliance with hospital accreditation standards. This study aims to design an inpatient medical record audit application that addresses existing inefficiencies in manual audit processes at RSUD Prof. Dr. Margono Soekarjo Purwokerto. The research was conducted using the System Development Life Cycle (SDLC) with a waterfall model approach, consisting of needs analysis, system design, coding, and testing. Data collection involved observation and interviews with inpatient coding staff, which revealed several issues in the current Google Spreadsheet-based audit system, including inflexible checklists, high risk of data loss, poor synchronization, and duplicate entries. The proposed web-based application offers functional features such as multi-user login, patient data upload, dynamic checklists, open and close audit forms, and graphical audit reports. Non-functional requirements emphasize security, accessibility, simplicity, and responsiveness. User requirements focus on ease of navigation, printable reports, and support for daily work routines. The system was implemented using JavaScript and tested through black-box testing, which confirmed all functionalities performed as expected. User satisfaction was evaluated through a questionnaire distributed in the medical records department with 13 respondents, 1 department head and 12 coders, the results showed an overall satisfaction level of 92.59%. This application improves audit efficiency, reduces input errors, and supports hospital efforts to meet accreditation indicators. The findings suggest that a well-designed information system can significantly enhance the management and monitoring of medical record completeness.