Pressure Injury Survey Guide

The Problem of Pressure Injuries



Pressure injury development places hospitalized patients at risk for other adverse events and increases resource consumption and healthcare costs. Preventing pressure injuries requires early identification of persons at risk and rapid implementation of prevention interventions.


Pressure injury prevention also requires multidisciplinary effort and administrative support. Pressure injury quality improvement teams that are fully empowered appear to have more success in reducing pressure injury occurrence.1, 2, 3 Nurses and nursing care interventions play an important role in pressure injury prevention across healthcare settings.


The measurement of hospital-acquired pressure injuries (HAPI) allows organizations to assess the quality of their prevention care, evaluate quality improvement initiatives, and examine institutional structures and processes that may influence their occurrence. The measurement can be accomplished during a survey to identify pressure injury presence and origin.


  1. Niederhauser, A., VanDeusen, C., Parker, V., Ayello, E.A., Zulkowski, K., & Berlowitz, D. (2012). Comprehensive programs for preventing Pressure Injuries: a review of the literature. Advances in Skin & Wound Care, 25(4), 167-187.
  2. Creehan, S., Cuddigan, J., Gonzales, D., Nix, D., Padula, W., Pittman, J., . . . Wheeler, R. (2016). The VCU Pressure Ulcer Summit-Developing Centers of Pressure Ulcer Prevention Excellence: A Framework for Sustainability. J Wound Ostomy Continence Nurs, 43(2), 121-128.
  3. Padula, W. V., Mishra, M. K., Makic, M. B., & Valuck, R. J. (2014). A framework of quality improvement interventions to implement evidence-based practices for pressure ulcer prevention. Adv Skin Wound Care, 27(6), 280-284; quiz 285-286.