Abstract: Objective: To investigate inpatient pediatric fall rate within three years, and to describe the characteristics of pediatric inpatient falls in a tertiary Grade A children's hospital. Methods: A retrospective investigation was conducted in a tertiary Grade A children's hospital. The data was collected from the nursing sensitive indicators reporting system in the hospital. The investigation duration was three years between July 1st, 2013 to Jun 30th, 2016. The study period was divided into six intervals by each six months. We reported the incidence in different intervals. Results: The inpatient pediatric falls rate was 0.34/1000 patient days. The incidence rate was significantly lower than those in other countries. Boys had a higher falling ratio than girls. About 81.6% of falls was falling out of bed and most falls happened in the middle shift with minimal or no injury. About 76.3% children's parents were present during the fall which is similar to worldwide reports. Conclusion: Pediatric falls differ greatly from adult and geriatric patients and injuries are not as severe as those patients. The falls rate is lower than those in other countries. For children, it is very important to monitor the severity of the injury which maybe the most valuable indicator of the fall prevention quality.