Over the past year, there has been an increase in patient falls and falls with injury in the ambulatory areas at Karmanos Cancer Center. Reasons for the increased fall rates were thought to include increased patient acuity and visitor restrictions placed due to COVID-19 precautions. In January 2021, a patient fell and sustained a major injury requiring hospitalization which prompted a root cause analysis (RCA) to be completed. As a response to both the rise in falls and suggestions from the RCA, an ambulatory falls task force was created. The purpose of this initiative was to devise and implement a standardized process to improve ambulatory patient safety. The goals were to improve the identification of patients at risk for falls, create consistent Interventions and methods to communicate fall risk of the patient, as well as to improve patient education around falls. Resources from protocols and interventions used in the inpatient units, literature searches and recommendations from associated organizations were collected for review. The task force used these resources to create a standardized ambulatory processes from patient check-in to discharge. The new standardized ambulatory process included assessing the patient for factors that would determine that the patient was a fall risk, determining the indictor needed to communicate risk of fall, and creation of an "Outpatient Safety Education Sheet" for the nurse to review with patients at first visit and when deemed a risk. The new plan also includes improved communication methods as the patient moves between ambulatory areas and use of a "Preventing Falls" safety brochure. Education of the new standardized process was provided to staff members in all ambulatory areas. All ambulatory staff have been educated on the new standardized process. Fall rates are reviewed each month and any gaps in the standardized process are discussed with leadership and staff involved. The task force will continue to meet quarterly to assess the process. Patients have a risk for falling especially when going to a new place, receiving new treatment, and not having a family member present. As we continue to see the acuity of patient increase in the ambulatory areas and limit family members who can be present; it is important to have standardized safety plans in place to limit injury to these patients.