Introduction:

Skin lesions associated with caring represent failures in patient safety that generates high economic and emotional impacts costs. Despite the efforts of health organizations worldwide to reduce its incidence and prevalence, these injuries remain a common problem in health care, so it is necessary to identify and establish the best strategies for prevention.

Objective:

Describe the effective nursing strategies for the prevention of skin lesions in people who are at risk of suffering.

Methods:

Systematic review of the available scientific production in the years 2005-2015 in Medline, Science Direct, FECYT, Embase, Ovid Nursing, Scielo and care. Articles assessment was performed with the GRADE instrument.

Conclusions:

The strategies were structured from key elements such as: previous diagnosis, use of risk assessment scales, using different information technologies, educational tools adapted to the needs identified and practical teaching, continuous auditing to ensure compliance and constant updating. Effective strategies to prevent skin lesions should focus according to needs identified in patients and maintained over time to quickly identify the factors that generate them. It must recognize the existence of other lesions as incontinence associated dermatitis and iatrogenic lesions as potential causes of more severe lesions affecting patient safety, so that prevention either more effective.

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