Hospital-acquired pressure injuries are a patient safety concern and can be costly for health care organizations. A multidisciplinary team of senior leaders, managers, nurses, and educators from departments that care for perioperative patients created an evidence-based perioperative pressure injury prevention bundle that includes skin and risk assessments, visual and electronic health record cues, prophylactic protection of at-risk skin, communication among providers and leaders regarding patient risk and injury throughout hospitalization, staff member education, compliance audits, root cause analyses, and wound care team follow-up. The prevention bundle resulted in a 50% reduction in perioperative pressure injuries the first calendar year after implementation, and
a zero-incidence rate for perioperative pressure injuries for at least a two-year period. This article discusses hospital-acquiredpressure injuries related to the perioperative setting and outlines the full perioperative pressure injury prevention bundle.
Key words: hospital-acquired pressure injury (HAPI), perioperative pressure injury, prevention bundle, fluidized positioner, prophylactic dressing.