Opportunity Information: Apply for PA 16 420
The Advances in Patient Safety through Simulation Research (R18) opportunity (AHRQ, PA 16-420; CFDA 93.226) supports research grants focused on developing, testing, and evaluating simulation-based approaches that measurably improve the safe delivery of health care. The central purpose is patient safety, with simulation treated not as an end in itself but as a practical tool to reduce errors, strengthen clinical performance, and improve systems of care. Projects are expected to generate evidence about what works, for whom, in which settings, and why, using rigorous research and evaluation methods appropriate for real-world clinical environments.
AHRQ emphasizes the broad ways simulation can be used to advance safety. One major use is training: simulations can expose individual clinicians and interprofessional teams to realistic clinical scenarios using mannequins, task trainers, virtual reality, standardized patients, and other simulation formats. This allows participants to practice decision-making, communication, teamwork, and technical skills while seeing the consequences of their actions in real time, but without putting actual patients at risk. Another key use is as a systems test-bed, where simulation is used to trial new clinical processes, workflows, technologies, or procedures before full implementation. In this role, simulation helps uncover failure modes, latent safety threats, and other unanticipated problems that could compromise patient safety if they surfaced during real patient care. A third emphasized area is assessment: simulation can be used to create valid and reliable measures of clinical performance and competency, with potential downstream applications in credentialing and certification, provided the measures are scientifically sound and relevant to safety outcomes.
The announcement encourages a wide range of applications as long as the work clearly advances patient safety. AHRQ welcomes diversity in simulation techniques (from high-fidelity mannequins to virtual reality and standardized patient encounters), clinical settings (such as hospitals, outpatient clinics, emergency care, perioperative settings, and other care environments), provider groups (including different disciplines and team configurations), priority populations, and patient conditions. This flexibility signals that AHRQ is looking for a portfolio of projects that collectively address multiple safety challenges across the health system, rather than a narrow focus on one specialty or one simulation modality.
Eligibility is limited to U.S.-based applicants. Eligible applicant types include public and state-controlled institutions of higher education, private institutions of higher education, and Native American tribal governments (federally recognized) as well as Native American tribal organizations (other than federally recognized tribal governments). Foreign institutions are not eligible, and non-U.S. components of U.S. organizations are also not eligible. The funding instrument is a discretionary grant under the R18 mechanism, which typically supports applied research and demonstration-style projects aimed at producing actionable evidence for health care improvement. The original closing date listed for this opportunity was February 25, 2019, and the opportunity was created on September 6, 2016. Award ceiling and expected award counts are not specified in the provided source details.Apply for PA 16 420
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Advances in Patient Safety through Simulation Research (R18)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.226.
- This funding opportunity was created on 2016-09-06.
- Applicants must submit their applications by 2019-02-25. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Private institutions of higher education.
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Frequently Asked Questions (FAQs): Advances in Patient Safety through Simulation Research (R18)
What is the Advances in Patient Safety through Simulation Research (R18) opportunity?
It is a research grant opportunity from AHRQ titled "Advances in Patient Safety through Simulation Research (R18)" (PA 16-420; CFDA 93.226). It supports projects that develop, test, and evaluate simulation-based approaches that measurably improve the safe delivery of health care.
What is the central purpose of this grant?
The central purpose is patient safety. Simulation is treated as a practical tool to reduce errors, strengthen clinical performance, and improve systems of care, rather than as an end in itself.
What kinds of outcomes are projects expected to produce?
Projects are expected to generate evidence about what works, for whom, in which settings, and why, using rigorous research and evaluation methods that fit real-world clinical environments.
How does AHRQ view the role of simulation in these projects?
AHRQ emphasizes simulation as a means to improve safety by enabling safer training, testing systems and processes before implementation, and assessing clinical performance with scientifically sound measures relevant to safety outcomes.
What are the major ways simulation can be used under this opportunity?
The opportunity highlights three major uses: (1) training clinicians and interprofessional teams, (2) using simulation as a systems test-bed to trial processes/workflows/technologies/procedures, and (3) assessment of clinical performance and competency using valid and reliable measures.
What training-oriented simulation approaches are mentioned?
The description mentions realistic clinical scenarios using mannequins, task trainers, virtual reality, standardized patients, and other simulation formats. These approaches can support practice in decision-making, communication, teamwork, and technical skills without putting patients at risk.
What does it mean to use simulation as a "systems test-bed"?
It means using simulation to trial new clinical processes, workflows, technologies, or procedures before full implementation, with the goal of uncovering failure modes, latent safety threats, and other unanticipated problems that could compromise patient safety in real care.
How is simulation used for assessment in this program?
Simulation may be used to create valid and reliable measures of clinical performance and competency. The announcement notes potential downstream applications in credentialing and certification, as long as the measures are scientifically sound and relevant to safety outcomes.
Does AHRQ restrict the simulation modality applicants can use?
No. The announcement encourages diversity in simulation techniques, ranging from high-fidelity mannequins to virtual reality and standardized patient encounters, as long as the work clearly advances patient safety.
What clinical settings are in scope for proposed projects?
A range of clinical settings is encouraged, including hospitals, outpatient clinics, emergency care, perioperative settings, and other care environments.
What types of provider groups or team configurations are considered?
The opportunity welcomes projects involving different provider groups, including different disciplines and interprofessional team configurations.
Are priority populations and specific patient conditions allowed topics?
Yes. The announcement explicitly welcomes diversity in priority populations and patient conditions, provided the project clearly advances patient safety.
Is the program looking for a narrow specialty focus or a broad portfolio?
The language indicates AHRQ is seeking a portfolio of projects that address multiple safety challenges across the health system, rather than limiting the program to one specialty or one simulation modality.
Who is eligible to apply?
Eligibility is limited to U.S.-based applicants. Eligible applicant types include public and state-controlled institutions of higher education, private institutions of higher education, Native American tribal governments (federally recognized), and Native American tribal organizations (other than federally recognized tribal governments).
Are foreign organizations eligible to apply?
No. Foreign institutions are not eligible.
Can a U.S. organization include a non-U.S. component on the application?
No. Non-U.S. components of U.S. organizations are also not eligible.
What is the funding mechanism for this opportunity?
The funding instrument is a discretionary grant under the R18 mechanism, which typically supports applied research and demonstration-style projects intended to produce actionable evidence for health care improvement.
What is the opportunity identifier information (agency, announcement number, and CFDA)?
The opportunity is from AHRQ, identified as PA 16-420, with CFDA 93.226.
When was this opportunity created?
The opportunity was created on September 6, 2016.
What was the original closing date listed for this opportunity?
The original closing date listed was February 25, 2019.
Is the award ceiling specified?
No. The award ceiling is not specified in the provided details.
Is the expected number of awards specified?
No. The expected award count is not specified in the provided details.
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