Despite an increase in pressure ulcer research since the publication of the AHCPR guidelines on pressure ulcers, few quality indicators are supported by substantial evidence. Through a literature search and synthesis coupled with a two-stage expert panel process, 11 valid quality indicators for pressure ulcers were identified. These indicators span pressure ulcer care from prevention and assessment to topical treatments. Although they are not comprehensive, they provide a baseline for measures that may discriminate between quality and substandard care.