Abstract: Objective To investigate the cause of falling in uremic patients, and to explore a specialist assessment scale and an intervention countermeasure. Methods Using the phased retrospective statistical analysis approach, a total of 312 uremic patients was selected as the control group from May 2011 to May 2013. From February 2014 to February 2016, a total of 421 uremic patients were included in the experimental group. The control group adopted a generic assessment scale, which is adopted extensively by domestic hospitals, as a screening tool for the populations with high falling risk; on the other hand, the experimental group employed a self-designed specialist assessment scale as the screening tool.. Two years later, the incidences of the adverse event of falling were analyzed statistically in the uremic patients of the two groups. Results The falling case number and falling rate in the control group screened by using the self-designed assessment scale dropped significantly, and the difference was statistically significant (P <0.05). Conclusions The self-developed specialist falling scale and intervention measures can effectively reduce the incidence of falling in uremia patients, and so is worth spreading its application.