Pressure injuries can be a significant negative outcome from hospitalisation. Pressure injury prevalence has been estimated to be between 3 and 37% within Australian health care settings (Prentice et al. 2003). The prevalence rate of pressure injuries varies significantly in different studies and care settings (Nguyen et al. 2015). This presentation describes how pressure injury prevalence surveys conducted as part of data collection for the Australian Nursing Outcomes Collaborative (AUSNOC) have been used to transform practice and improve care for patients in an acute hospital in NSW, Australia. The data obtained from a pressure injury prevalence survey conducted in October 2016 was confronting to staff due to the high prevalence of hospital acquired pressure injuries identified in the survey. Data from the survey was used to drive change and improve care practices in 3 wards. As a result of these practice improvements significant changes have occurred in ownership of, engagement with and outcomes associated with hospital acquired pressure injuries in participating wards. This presentation will present data from pressure injury prevalence surveys taken initially and then following the practice improvements. This project describes the pressure injury prevalence survey methodology, the participatory action research methodology used in the practice improvement process and data from before and after the practice improvements. Attendees will gain information about how they can make change happen in their care setting and the importance of data in the change management process.