Pressure injury risk screening and care planning in hospitals using clinical information systems: a scoping review protocol

Objective: The objective of this review is to synthesize and map the existing literature on the processes, barriers, facilitators, and challenges of pressure injury risk screening and care planning in hospitals using clinical information systems. Introduction: International guidelines advocate a shift toward patient-centered care plans that integrate both risk screening and individualized prevention strategies. Simultaneously, health care systems are rapidly adopting digital technologies, including clinical information systems to support clinical practice. While studies have investigated risk screening and prevention strategies in hospital settings, no review has mapped these components within the context of clinical information systems. Investigating the processes, barriers, facilitators, and challenges of risk screening and care planning in hospitals using clinical information systems will inform the design of future patient-centered care plans, ultimately improving patient outcomes and reducing hospital-acquired pressure injuries. Eligibility criteria: Studies involving clinicians of any background engaged in pressure injury risk screening and care planning within hospital settings that use clinical information systems will be included. Studies exploring risk screening and prevention strategies, either individually or as part of a broader care planning process, will be included. All study designs, except reviews, will be included. Methods: Sources to be searched include MEDLINE (Ovid), Embase, CINAHL (EBSCOhost), Web of Science, and Scopus from January 2008 to May 2025. Title and abstracts will be screened by 2 independent reviewers, followed by full-text screening and extraction. Results will be presented in a matrix describing key features of the study related to the review’s objectives. Review registration: OSF https://osf.io/jrd29/overview