Observational studyInternational journal of health policy and management2022
Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study.
Observational study in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Integrating Artificial Intelligence in Nursing Practice With Decubitus Risk Prediction Alerts: A Pilot Process Evaluation.Journal of clinical nursing · 2026Article
- Multilingual Evidence-Based Question-Answering for Stroke Discharge Summaries: Study of Cross-Lingual Heterogeneity in Clinical Reports.Journal of medical Internet research · 2026Article
- Implementation of Outcome-Based Quality Improvement in Dutch Inflammatory Bowel Disease Centres.Digestive diseases and sciences · 2026Article
- Exploring nurses' documentation prioritization strategies to alleviate EHR documentation burden: a phenomenological study.JAMIA open · 2026Article
- Refining the Quality Indicator Set from the Dutch Audit for Treatment of Obesity to Ensure Usefulness in Clinical Practice.Obesity surgery · 2025Article
- The use of outcome data from quality registries to learn and improve; a Dutch nationwide quantitative analysis in five disease areas.BMC health services research · 2024Article
- Review
- Article
- Putting measurement on a diet: development of a core set of indicators for quality improvement in the ICU using a Delphi method.BMC health services research · 2022Article
- Electronic health record implementation and healthcare workers' work characteristics and autonomous motivation-a before-and-after study.BMC medical informatics and decision making · 2022Article
- Complex Governance Does Increase Both the Real and Perceived Registration Burden: The Case of the Netherlands Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study".International journal of health policy and management · 2022Article
- Purpose, Subject, and Consumer Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study".International journal of health policy and management · 2022Article
- More Evidence That the Healthcare Administrative Burden Is Real, Widespread and Has Serious Consequences Comment on "Perceived Burden Due to Registrations for Quality Monitoring and Improvement in Hospitals: A Mixed Methods Study".International journal of health policy and management · 2022Article
- Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing.Advances in radiation oncologyArticle
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality indicators are registered to monitor and improve the quality of care. However, the number and effectiveness of quality indicators is under debate, and may influence the joy in work of physicians and nurses. Empirical data on the nature and consequences of the registration burden are lacking. The aim of this study was to identify and explore healthcare professionals' perceived burden due to quality registrations in hospitals, and the effect of this burden on their joy in work.
methodsA mixed methods observational study, including participative observations, a survey and semi-structured interviews in two academic hospitals and one teaching hospital in the Netherlands. Study participants were 371 healthcare professionals from an intensive care unit (ICU), a haematology department and others involved in the care of elderly patients and patients with prostate or gastrointestinal cancer.
resultsOn average, healthcare professionals spend 52.3 minutes per working day on quality registrations. The average number of quality measures per department is 91, with 1380 underlying variables. Overall, 57% are primarily registered for accountability purposes, 19% for institutional governance and 25% for quality improvement objectives. Only 36% were perceived as useful for improving quality in everyday practice. Eight types of registration burden were identified, such as an excessive number of quality registrations, and the lack of usefulness for improving quality and inefficiencies in the registration process. The time healthcare professionals spent on quality registrations was not correlated with any measure of joy in work. Perceived unreasonable registrations were negatively associated with healthcare professionals' joy in work (intrinsic motivation and autonomy). Healthcare professionals experienced quality registrations as diverting time from patient care and from actually improving quality.
conclusionRegistering 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. Also the efficiency of quality registrations should be increased through staffing and information and communications technology solutions to reduce the registration burden experienced by nurses and physicians.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.