Abstract: Objective: To investigate the use of nursing risk assessments on inpatients in 110 second-or third-tier hospitals in China.Methods: Totally 352 patients in 110 hospitals were recruited by convenient sampling. Self-designed usage of nursing risk assessments status questionnaires were used. Results: Of all the 110 hospitals, the most widely assessments were pressure ulcer risk assessment (100.00%), fall risk assessment (97.3%) and risk of unplanned extubation assessment (77.3%). Most hospitals used electronic evaluation table of nursing risk assessment.The scores of evaluations of "too much and complicated evaluation contents which improved nurses workload", "some laboratory monitoring index data was hard to obtain", "repeated evaluation of the same indicators in different risk assessments "were (4.25±0.79),(4.16±0.87) and (4.00±1.03) respectively, which were higher than others. Nurses mostly suggested that "national or regional health provide suitable nursing assessments", "the establishment of information platform", "the introduction of the authority of the risk control guidelines or standards" and "multi-disicipline cooperation for risk control". Conclusions: Nursing risk assessment is an important tool of risk nursing management.The usage of risk assessments still existed some problems,this study suggested to improve the nursing risk assessment tools, speed up the information construction of nursing risk management, make a multidisciplinary collaboration and evidence based risk pre-control measures.