This study is a cluster randomized controlled trial using stepped wedge method for examining effectiveness of multiple intervention strategy in reducing patients’ fall and fall-related injuries for 38 weeks in a general hospital. The units (clusters) are determined by random allocation before the start of the trial for entrancing to the intervention phase at specific period of times (2 weeks). All clusters start the trial in a control phase with no intervention being delivered in any of them and then sequentially cross over from the control group to the intervention group, until all units are receiving the intervention. Inclusion criteria: All patients admitted to 18 units with a Morse risk score more than 45; patients with a history of fall and exclusion criteria: Patients with a Morse risk score less than 45. The primary and secondary outcome measures will be patient fall during hospitalization and fall-related injuries, their treatments respectively. The number of patient admissions to the unit and the number of patient bed days (LOS for each patient) will be collected routinely at each unit. The sample size used in this study is calculated based on Woertman’s study formula . Our hypothesis is that the interventions will a reduction of 30 percent on the incidence in fall rate. The required sample size was calculated to be 2100, using an alpha of 0.05 and desired power level of 0.90. Interventions of the study are as follows: patient education, staff training, training patients for not leaving the bed and the bathroom without asking for help, placement of nursing-call bells, Provide adequate lighting, supervise high risk patients during transmission and handovers, allocate mobility devices, placement of call bell and safe guard in bathrooms, placement of a ‘Fall alert’ sign above the patient’s bed, detection and treatment of postoperative complications such as Hypoxia, using yellow wristband, encourage appropriate use of eyeglasses, hearing aids and footwear, reassessment of patients after their fall, placing side rails on bed and encourage patients to empty their bladder and bowel prior to bedtime.