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Falls can result in death or injury. An acute hospital introduced pre-printed falls assessment care plans and supported nurse education to reduce fall rates> Causes, prevalence and cost of inpatient falls> Launching an evidence-based protocol across a trust> Auditing the results and development of the falls serviceHeaton C (2012) Creating a protocol to reduce inpatient falls. Nursing Times; 108,12:16-18.Falls in hospital are a widespread and challenging problem. They cause harm and distress to patients, and are a source of anxiety for nurses and relatives.This article describes how an acute trust in the North West of England improved its service through staff education and implementing a policy across the trust. The protocol included a falls risk assessment, bedrails risk/benefit assessment and preprinted falls risk assessment care plans.Nurses' knowledge and the quality and completeness of patient documentation improved and, over the three years, falls reduced by a statistically significant 17%.