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Adult nursing
Body sensor providing feedback to bedside staff reduced the prevalence of pressure ulcers in patients with critical illness
  1. Amelia Swift
  1. Nursing, University of Birmingham, Birmingham, UK
  1. Correspondence to Dr Amelia Swift, Nursing, University of Birmingham, Birmingham B15 2TT, UK; A.Swift{at}

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Commentary on: Pickham D, Berte N, Pihulic M, et al. Effect of a wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial (LS-HAPI study). Int J Nurs Stud 2018;80:12–19.

Implications for practice and research

  • Hospital-acquired pressure injuries (HAPI) vary in prevalence but affect more than 4% of inpatients.

  • HAPIs lead to increased length of stay and are an indicator of poor care quality.

  • Sustained improvement in nursing practice is required to prevent HAPI.

  • Longer term follow-up in studies comparing different ways to reduce risk is required to find a way to sustain improvements in practice.


Hospital-acquired pressure injuries (HAPI) lead to increased length of stay and increased risk of mortality.1 Prevention of pressure ulcers requires careful assessment of the skin and risk factors …

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  • Competing interests The author of this commentary is an associate editor for BMJ Evidence-Based Nursing.

  • Provenance and peer review Commissioned; internally peer reviewed.