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Objective: to analyze the incidence of pressure ulcers as a healthcare quality indicator at Coronel Frota Hospital in Porto Alegre. Method: a quantitative study based on the principles of exploration and description, which used statistical analysis of adverse event reports of pressure ulcers. Results: low pressure ulcer rates were identified. The affected patients had several risk factors including changes in nutrition, mobility and level of consciousness. The use of pyramidal mattress and the position change were highly indicated as nursing care in the prevention of pressure ulcers. Concluding Remarks: pressure ulcers developed despite the existence of preventive nursing care. The need to expand pressure ulcer prevention efforts and to evaluate the accuracy of adverse event reporting was identified

Incidência de úlcera por pressão como indicador de qualidade na assistência de enfermagem