OBJECTIVES: Fall during hospitalization, an important measure of quality and patient safety, continues to be a challenge for both the medical and administrative services. Medication-reconciliation play a crucial role in reducing medication-related falls during the hospital stay.  We characterized patients who had a fall during inpatient visits between 2007-2014 and assessed medication-related risk of fall. METHODS: We collected data of patients who had a fall during inpatient stays between 2007-2014 from the Healthcare Enterprise Repository for Ontological Narration(HERON) database of an academic medical center.  HERON is a database that integrates clinical and biomedical data for translational research at University of Kansas Medical Center(KUMC). We identified a cohort of patients who were classified as “High Risk of Fall” during their inpatient stay and had experienced a ‘Fall’ from inpatient flowchart and nurse assessment indicators.  The AHRQ provided medication-related fall risk tool was incorporated to assess medication-related risk of fall(high risk=score>6) RESULTS: A total 411,360 patients had an inpatient visits. About 8.9%(36,578) of these visits included patients at “High Risk of Fall”. 5,484 patients experienced a fall during this period. Among these patients with fall, 36% were aged 50-65, 50% were female, and 75% were white. Medication-reconciliation was done for 67% of these patients who brought at least one mediation from home. Discharge medication-reconciliation was done for 30% of these patients. 68% of them were on opioids, 62% on diuretics, 46% on antidepressants, and 34% on antihypertensive medications. Most(83%) of these patients with fall belonged to high risk of medication-related fall category(score >=6). CONCLUSIONS: From 2007-2014, 5,484(1.3%) patients experienced a fall during their hospitalization. Admission medication-reconciliation was done on more than half of the patients(67%) but there is a large gap in discharge medication-reconciliation (only30%). Further research is warranted to determine if interventions with vigorous medication-reconciliation could be implemented to prevent medication-related inpatient falls.