Opportunity Information: Apply for RFA HS 10 018

  • The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Improving 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 Research on Healthcare Costs, Quality and Outcomes.
  • This funding opportunity was created on Mar 16, 2010 and posted on Jan 21, 2010.
  • Applicants must submit their applications by Jun 21, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $4,200,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $350,000.00 in funding.
  • Eligible applicants include: Private institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments) County governments Others (see text field entitled Additional Information on Eligibility for clarification) State governments Public and State controlled institutions of higher education City or township governments Native American tribal governments (Federally recognized).
  • Other Eligible Applicants include the following Faith based or Community based Organizations Indian/Native American Tribal Governments (Other than Federally Recognized).
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Opportunity Summary:

The Improving Patient Safety through Simulation Research (R18) opportunity (Funding Opportunity Number RFA-HS-10-018) is a discretionary grant program from the Agency for Healthcare Research and Quality (AHRQ) focused on strengthening patient safety through the development, testing, and evaluation of simulation-based approaches in health care. The central idea is to use simulation as a practical research and improvement tool that helps clinicians and health systems learn, practice, and refine care delivery in ways that reduce harm to patients. AHRQ is looking for a range of projects rather than a single narrow topic area, and it explicitly welcomes applications that can be applied across different clinical environments and types of care settings.

The program is built around the idea that simulation is more than just training in the classroom. In health care, simulation typically places individuals or teams into realistic clinical situations using tools such as mannequins, task trainers, virtual reality platforms, or standardized patients. Because these scenarios can be run without involving real patients, clinicians can experience the real-time consequences of decisions, communication patterns, and technical actions in a controlled environment. This creates a safer space to build competence, practice teamwork, and recognize how small missteps or system issues can lead to adverse events. AHRQ also highlights a second major use case: simulation as a test bed for health care processes and technologies. In that role, simulation can be used to stress-test new procedures, workflows, or devices, uncover hidden failure modes, and identify risks that might not be obvious until after implementation. Projects that help surface these threats early, before they impact patients, align directly with the safety intent of the announcement.

Funding is provided through the AHRQ Research Demonstration and Dissemination Projects mechanism (R18). Under this structure, the investigator, supported by their organization, is responsible for designing and carrying out the work, including planning, implementation, evaluation, and sharing results. The emphasis on demonstration and dissemination implies that projects should not only generate findings but also produce evidence and insights that can inform broader safety practice, including how simulation approaches can be implemented and assessed in real-world health care contexts.

In terms of scale, AHRQ planned to commit up to $4.2 million in total costs to support approximately 10 to 12 new awards, depending on the number and quality of applications and the availability of funds. Because proposed studies may differ widely in scope, the award size and project duration were expected to vary across grantees. The listed award ceiling is $350,000. Importantly, there is no cost sharing or matching requirement, which lowers the barrier for organizations that may not be able to contribute additional funds.

Eligibility is broad and includes public and private institutions of higher education, public and state-controlled institutions, state governments, county governments, and city or township governments. The announcement also allows a variety of other applicants, including federally recognized Native American tribal governments, other tribal organizations, and faith-based or community-based organizations, as described in the eligibility information. This wide eligibility reflects AHRQ's interest in reaching different types of health care and research organizations that can study and apply simulation in diverse patient safety contexts.

Administratively, the opportunity was posted on January 21, 2010, with an original closing date of March 26, 2010, later extended to a current closing date of June 21, 2010. The archive date is July 21, 2010. The program is associated with CFDA number 93.226 (Research on Healthcare Costs, Quality and Outcomes), reinforcing that the work is meant to contribute evidence about how care is delivered, how safety and quality can be improved, and what outcomes result from those improvements. The full announcement was made available through the NIH grants guide webpage referenced in the listing, and technical access issues were routed to the NIH Office of Extramural Research (OER) webmaster contact.

Frequently Asked Questions (FAQs): Improving Patient Safety through Simulation Research (R18)

What is the name of this grant opportunity?

The opportunity is titled Improving Patient Safety through Simulation Research (R18).

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is RFA-HS-10-018.

Which federal agency is offering this program?

This is a discretionary grant program from the Agency for Healthcare Research and Quality (AHRQ).

What is the main purpose of this funding opportunity?

The purpose is to strengthen patient safety by supporting the development, testing, and evaluation of simulation-based approaches in health care that help reduce harm to patients.

What kind of grant mechanism is used?

Funding is provided through the AHRQ Research Demonstration and Dissemination Projects mechanism (R18).

What does "demonstration and dissemination" mean in this context?

It means projects are expected to do more than generate findings. Applicants are responsible for designing and carrying out the work (planning, implementation, evaluation, and sharing results) so that the evidence and lessons learned can inform broader patient safety practice and real-world implementation.

Is AHRQ looking for one specific topic area or a range of projects?

AHRQ is looking for a range of projects, not a single narrow topic area, and welcomes applications that can be applied across different clinical environments and types of care settings.

How is "simulation" described for this program?

Simulation is described as placing individuals or teams into realistic clinical situations using tools such as mannequins, task trainers, virtual reality platforms, or standardized patients. The emphasis is on simulation as a practical research and improvement tool, not only classroom training.

Why is simulation relevant to patient safety?

Because scenarios can be run without involving real patients, clinicians can see the real-time consequences of decisions, communication patterns, and technical actions in a controlled environment. This can help build competence, practice teamwork, and identify how small missteps or system issues may lead to adverse events.

Does AHRQ support using simulation to test workflows or technologies, not just training?

Yes. AHRQ highlights simulation as a test bed for health care processes and technologies, including stress-testing new procedures, workflows, or devices to uncover hidden failure modes and identify risks before implementation affects patients.

What is the total amount AHRQ planned to commit to this program?

AHRQ planned to commit up to $4.2 million in total costs for this opportunity.

How many awards did AHRQ expect to make?

AHRQ anticipated making approximately 10 to 12 new awards, depending on application quality and the availability of funds.

What is the maximum award amount?

The listed award ceiling is $350,000.

Will all awards be the same size and duration?

No. Because proposed studies may differ widely in scope, award size and project duration were expected to vary across grantees.

Is cost sharing or matching required?

No. There is no cost sharing or matching requirement.

Who is eligible to apply?

Eligibility is broad and includes:

  • Public and private institutions of higher education
  • Public and state-controlled institutions
  • State governments
  • County governments
  • City or township governments
  • Federally recognized Native American tribal governments
  • Other tribal organizations
  • Faith-based or community-based organizations (as described in the eligibility information)

Does the opportunity encourage projects that can be used in different care settings?

Yes. AHRQ explicitly welcomes applications that can be applied across different clinical environments and types of care settings.

When was the opportunity posted?

The opportunity was posted on January 21, 2010.

What was the original closing date?

The original closing date was March 26, 2010.

What is the extended (current) closing date listed?

The closing date was extended to June 21, 2010.

What is the archive date?

The archive date is July 21, 2010.

What is the CFDA number associated with this program?

The program is associated with CFDA 93.226, titled Research on Healthcare Costs, Quality and Outcomes.

How does the CFDA description relate to this simulation program?

The CFDA association reinforces that the funded work is intended to contribute evidence about care delivery, how safety and quality can be improved, and what outcomes result from those improvements.

Where was the full announcement made available?

The full announcement was made available through the NIH grants guide webpage referenced in the listing.

Where were technical access issues directed?

Technical access issues were routed to the NIH Office of Extramural Research (OER) webmaster contact.

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