Perioperative Pressure Injuries: Protocols and Evidence-Based Programs for Reducing Risk


In 2010, over 51 million surgeries were performed in the United States (Centers for Disease Control and Prevention, 2015). If the rate of surgical pressure injuries is assumed to be 15% (the average of incidence rates found in the literature) (Chen, Chen, & Wu, 2012), more than 7 million individuals could acquire a pressure injury during a surgical procedure in 2016 alone.Scott-sidebar

Reducing HAPI in the OR begins with educating staff and improving communication. A strategic plan that addresses the challenges and barriers to strengthening outcomes can reduce waste, conserve valuable resources, and mitigate patient harm. By implementing the strategic protocols and programs described above—including identifying at-risk patients, implementing the interventions in the OR skin bundle, and putting in place a PPIPP—organizations can help improve patient safety and strive for the ultimate goal of zero patient harm.



Editorial support was provided by Jani Bergan, MA, of W2O Group, on behalf of Getinge Group, a leading global provider of innovative solutions for operating rooms, ICUs, hospital wards, and sterilization departments, as well as for elder care and life science companies.

Susan M. Scott is the patient safety quality improvement educator at the University of Tennessee Health Science Center, College of Medicine, Office of Graduate Medical Education in Memphis. At the university, she serves as an affiliated staff member at the Center for Health Systems Improvement, College of Medicine, and as a clinical instructor in the College of Nursing. Scott is also a clinical consultant and speaker for Sage Products, Inc. She may be contacted at,, and @scotttriggers on Twitter.



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