The role of auditing in ensuring the quality of healthcare services: A literature review

Penulis

  • Nadia Putri Untiami Universitas Pembangunan Nasional Veteran Jakarta
  • Reynanda Sabrina Universitas Pembangunan Nasional Veteran Jakarta
  • Assyifa Ramadhani Universitas Pembangunan Nasional Veteran Jakarta
  • Acim Heri Iswanto Universitas Pembangunan Nasional Veteran Jakarta

DOI:

https://doi.org/10.54957/ijhs.v6i3.2248

Kata Kunci:

Clinical audit, Hospital management information system, Patient safety, PDCA, Quality of healthcare services

Abstrak

Audits, as systematic evaluation tools, play a strategic role in ensuring and improving the quality of healthcare services. This literature review aims to analyze the contribution of audits—including clinical audits, operational audits, and information system audits—to service quality standards in healthcare facilities. The method used was a systematic literature review with a narrative synthesis approach of nine selected scientific articles published between 2016 and 2026. The results of the study indicate that ISO 9001:2015-based internal audits, operational audits, clinical coding audits, and Hospital Management Information System (HMIS) audits have a positive impact on service effectiveness, patient safety, and the accuracy of clinical data. Audit implementation still faces various obstacles, such as the high workload of healthcare personnel, limited human resource competencies, the perception of audits as an administrative burden, and limitations in information technology infrastructure. The conclusion of this study emphasizes that optimizing audits requires the integration of human resource capacity building, the development of reliable information systems, and a supportive organizational culture of quality. The application of the Plan-Do-Check-Act (PDCA) cycle is recommended as a framework to drive continuous improvement in service quality.

Referensi

Alsaqqa, H. H. (2024). Toward Organizational Evidence-Based Management in Healthcare Organizations. International Journal of Health Services Research and Policy, 2(9), 44–50.

Anggraini, L. D., Purnamasari, E. D., & Melinda. (2021). Evaluasi Implementasi Audit Internal Berbasis Iso 9001:2008 untuk Meningkatkan Manajemen Mutu Pada Rumah Sakit. MegaAktiva : Jurnal Ekonomi Dan Manajemen, 10(1), 39–47.

Aulia, A., & Amri, U. (2024). Analisis Klaim Pending, Verifikasi dan Audit Pascaklaim Jaminan Kesehatan Nasional. Jurnal Ekonomi Kesehatan Indonesia, 9(2). https://doi.org/10.7454/eki.v9i2.1132

Azzolini, E., Furia, G., Cambieri, A., Ricciardi, W., Volpe, M., & Poscia, A. (2019). Quality improvement of medical records through internal auditing: A comparative analysis. Journal of Preventive Medicine and Hygiene, 60(3), E250–E255. https://doi.org/10.15167/2421-4248/jpmh2019.60.3.1203

Direktorat Jenderal Pelayanan Kesehatan. (2022). Keputusan Direktur Jenderal Pelayanan Kesehatan Nomor HK.02.02/I/0522/2022 tentang Pedoman Pelaksanaan Audit Klinis di Rumah Sakit.

Hosizah, Puspita Ningsih, K., Nisak, U. K., & Widjaja, L. (2024). Audit Kode Klinis Pasien Rawat Inap Jaminanan BPJS Kesehatan Di Rumah Sakit Tipe C Dan D Wilayah DIY. Jurnal Ilmiah Perekam Dan Informasi Kesehatan Imelda (JIPIKI), 9(2), 189–199. https://doi.org/10.52943/jipiki.v9i2.1707

Kartono, & Wirawan, P. (2025). Strategi Peningkatan Kualitas Pelayanan Kesehatan Melalui Implementasi Sistem Manajemen Mutu ISO 9001 : 2015 Paradigma New Public Service dalam Kualitas Pelayanan Publik Management , beralih ke prinsip paradigma New Public Service dalam administrasi. Jurnal Riset Manajemen Dan Ekonomi, 3(1), 01–13. https://jurnal.itbsemarang.ac.id/index.php/JRIME

Lestari, A. Y., Misran, Raharjo, T., Annas, M., Riskanita, D., & Prabandari, A. P. (2024). Improving Healthcare Patient Data Security: An Integrated Framework Model For Electronic Health Records From A Legal Perspective. Law Reform: Jurnal Pembaharuan Hukum, 20(2), 329–352. https://doi.org/10.14710/lr.v20i2.56986

Mastur, V. A. M., Handiyani, H., & Atnikasari, A. (2020). Pelaksanaan Audit Mutu Pelayanan Keperawatan di RS A Jakarta Barat. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(3), 397. https://doi.org/10.20527/dk.v8i3.7765

Metilda, Chairunnisa, N., Aris, S. S., Setiasih, G. T., Afifah, N., & Putri, D. (2021). Peran Audit dalam Meningkatkan Kualitas Perawatan Melalui Dokumentasi dan Evaluasi Rekam Medis. Jurnal Riset Ilmiah, 1(01), 15–18.

Nur, T. A., Rismawati, R., & Rusli, A. (2023). Pengaruh Audit Operasional Dan Motivasi Kerja Terhadap Efektivitas Pelayanan Kesehatan Dirumah Sakit Mujaisyah. Owner, 7(3), 1939–1947. https://doi.org/10.33395/owner.v7i3.1505

O’Connor, P. J., Hill, A., Kaya, M., & Martin, B. (2019). The measurement of emotional intelligence: A critical review of the literature and recommendations for researchers and practitioners. Frontiers in Psychology, 10(MAY). https://doi.org/10.3389/fpsyg.2019.01116

Riyasari, W., & Arza, F. I. (2020). Pengaruh Audit Operasional, Pengendalian Internal, Dan Good Clinical Governance Terhadap Efektivitas Pelayanan Kesehatan Pasien Bpjs Di Rumah Sakit. Jurnal Eksplorasi Akuntansi (JEA), 2(4).

Sari, A. N., & Priantana, R. D. (2023). Pengaruh Audit Operasional, Pengendalian Internal, dan Good Clinical Governance terhadap Efektivitas Pelayanan Kesehatan pada Rumah Sakit Tipe B di Banda Aceh. Jurnal Penelitian Ekonomi Akuntansi (JENSI), 7(1), 34–48. https://doi.org/10.33059/jensi.v7i1.7636

Sholikah, T., & Praptiestrini. (2021). Analisis Pengaruh Audit Operasional, Pengendalian Internal, Good Clinical Governance Dan Etika Bisnis Lembaga Rumah Sakit Terhadap Efektivitas Pelayanan Kesehatan Pasien Rawat Jalan Di Rsu Ja’far Medika. Surakarta Accounting Review (SAREV), 3(2), 89–100.

Wasita, R. R. R., & Firsta Adnyana, G. (2025). Audit Sistem Informasi Manajemen Rumah Sakit Menggunakan Metode Framework 4.0 Di Rumah Sakit Umum Daerah Wangaya. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 28(01), 28–34. https://doi.org/10.22146/jmpk.v28i01.17663

Unduhan

Diterbitkan

15-06-2026

Cara Mengutip

Untiami, N. P., Sabrina, R., Ramadhani, A., & Iswanto, A. H. (2026). The role of auditing in ensuring the quality of healthcare services: A literature review. Indonesian Journal of Health Science, 6(3), 509–518. https://doi.org/10.54957/ijhs.v6i3.2248

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