 The study by Zegers et al. 2019 examined the effect of reporting requirements on clinician workload in three Dutch hospitals. The authors found that the reporting requirements placed a significant burden on clinicians leading to decreased job satisfaction and increased stress levels. This burden was particularly pronounced among nursing staff who reported higher levels of stress than physicians or other clinical staff. Additionally, the authors noted that the burden of reporting requirements could lead to reduced patient care quality due to decreased attention paid to patients. Overall, this study provides important insight into the potential negative consequences of reporting requirements for both clinicians and patients. This article was authored by Albert J. Hoyer.