Hospitals have a responsibility to keep their patients safe. Falls are common adverse events in acute care hospitals. Hospitalized patients fall 2-3% each year and 30-51% of falls result in injury. Falls are a burden for patients, families and hospitals. Falls affect the physical and psychological health of patients through pain, injuries, immobility and decreased function. Complications from falling lead to longer hospital stays, a loss of independence and have a significant financial cost. Although a falls prevention strategy has been implemented within the hospital, the results indicate that there has not been a reduction of the number of falls with harm. We are interested in understanding if anyone has been successful in decreasing falls with harm for hospitalized patients.