Pressure ulcers impose a high burden of disease on both the affected individual and society. Demographic change and multimorbidity aggravate the problem. The present study describes the systematic implementation of a comprehensive approach to reduce the incidence of pressure ulcers in an inpatient setting. The introduction of systematic risk assessment and the subsequent risk-adjusted application of evidence-based prevention, combined with continuous feedback of outcomes as well as tailored training, were associated with a significant decline in the incidence of pressure ulcers. Especially the occurrence of high-grade ulcers could be minimized by this systems approach.
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