 This study found that healthcare professionals experienced a significant amount of burden due to quality registrations in hospitals. This burden is mainly caused by the large number of quality indicators which are often not related to actual patient care and the lack of usefulness of these indicators for improving quality in daily practice. Furthermore, the registration process itself is seen as inefficient and time-consuming, leading to less time available for patient care. These findings suggest that fewer quality indicators, but more of what really matters to healthcare professionals, is key to increasing the effectiveness of registrations for quality improvement and governance. This article was authored by Marieke Siegers, Kepkel Wienstra, Gerard Geritzen, and others.