Respon Pemimpin Rumah Sakit Terhadap Penerapan Akreditasi Rumah Sakit Kars Versi 2012

Background: The role of hospital leader is key for thesuccessful implementation of KARS version 2012 accreditationwhich puts patient safety as the focus of hospital management.Aim: This study aimed to explore the understanding andresponses of hospital leades toward hospital accreditation2012.Method: This was a qualitative research design using casestudy. Data were gathered through 1) semi structuralquestionnaire interview of Hospital Director, Nursing Chief andCoordinator of Care Services (3 informants); 2). directobservation at medical services activities, patient transfer,Medical Support Services, patient's identity writing and patientsidentification on treatment; and 3) data obtained from minutesof meeting, Standard Operational Procedure, policy, patient'sdocument related with standard implementation of hospitalaccreditation.Result: Accreditation preparation at this hospital used a topdown approach with limited dissemination. Director'sunderstanding limited to the purposes, scoring method andassessed chapter, meanwhile the Nursing Chief only mentionedthe quality improvement purposes and care, and Coordinatorof care stated quality improvement accreditation. The leaderhas not built a structured planned for overall hospital activity,but only reactive responses. In the service level there is onlya minor change found. For example writing patient identitydiffers in each unit, hand washing practice has no properstandard operational procedure, and hand washing facilitywas not available in every patient bed.Conclusion: There is a gap of understanding and responseson accreditation due to unstructured preparation. Responseswere only on hand washing aspect and personal identity.There is still no written policy on implementation of KARS 2012accreditation