Opportunity Information: Apply for PA 18 791

  • The National Institutes of Health in the health, income security and social services sector is offering a public funding opportunity titled "Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care (R03 - Clinical Trial Optional)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.865.
  • This funding opportunity was created on 2018-05-21.
  • Applicants must submit their applications by 2021-09-07. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $50,000.00 in funding.
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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Opportunity Summary:

The National Institutes of Health (NIH) funding opportunity titled "Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care (R03 - Clinical Trial Optional)" (Funding Opportunity Number: PA-18-791; CFDA: 93.865) supports small, focused research projects that aim to improve patient safety for newborns and young children, with particular emphasis on perinatal and neonatal care. It is designed to encourage collaborative work that can generate practical knowledge about how and why medical errors occur in both routine newborn care and high-acuity settings such as neonatal intensive care units, and what can be done at multiple levels to prevent those errors and reduce harm. Because this is an R03 mechanism, it generally aligns with pilot or feasibility-style projects that can produce early evidence, refined methods, preliminary datasets, or proof-of-concept findings that help move a safety idea toward broader testing and adoption.

The scope of research is intentionally broad and includes, but is not limited to, studies that describe the epidemiology of medical errors and related patient harm in perinatal, neonatal, and pediatric settings. That can include work that measures how often certain errors occur, what types of harms result, which populations are most affected, and how patterns differ across clinical environments, staffing models, or care processes. The FOA also emphasizes research that identifies and evaluates contributing factors at different levels, such as individual clinician decision-making, communication and teamwork, workflow and handoffs, technology and documentation, organizational policies, and institutional culture. In addition to understanding the problem, the announcement invites intervention-oriented research that tests strategies to reduce or eliminate errors. These interventions may target individuals (for example, training, decision support, or checklists), systems (such as standardized protocols, redesigned care pathways, or improved handoff structures), or institutions (like safety culture initiatives, reporting systems, or policy changes). Overall, the goal is to build evidence that can translate into safer, higher-quality care for all newborn infants, emphasizing both safety and effectiveness.

Clinical trials are optional under this announcement, meaning applicants can propose either observational and analytic studies or interventional studies, as long as the work fits NIH definitions and requirements for the chosen approach. This flexibility allows projects ranging from chart review and safety surveillance, to qualitative investigations of contributing factors, to pilot testing of a safety intervention in a clinical unit. The announcement frames the expected impact in practical terms: the knowledge gained should help health systems develop and refine strategies that reliably deliver the highest quality of care with the least preventable harm during the perinatal and neonatal period, including intensive care contexts.

Eligibility is broad and includes many types of U.S.-based organizations and governmental entities. Eligible applicants include state, county, city, township, and special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; Native American tribal organizations (other than federally recognized tribal governments); public housing authorities and Indian housing authorities; nonprofits with or without 501(c)(3) status (excluding institutions of higher education when specified in the listing); for-profit organizations other than small businesses; and small businesses. The FOA also explicitly highlights additional eligible applicant categories such as Historically Black Colleges and Universities (HBCUs), Hispanic-serving Institutions, Tribally Controlled Colleges and Universities (TCCUs), Alaska Native and Native Hawaiian Serving Institutions, and Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), as well as faith-based or community-based organizations, eligible federal agencies, regional organizations, and U.S. territories or possessions. At the same time, the announcement clearly restricts foreign participation: non-U.S. entities (foreign organizations and foreign institutions) are not eligible to apply, non-domestic components of U.S. organizations are not eligible, and foreign components as defined by the NIH Grants Policy Statement are not allowed.

From a practical standpoint, the award information provided indicates an award ceiling of $50,000, consistent with small grant expectations under an R03. The original closing date listed is 2021-09-07, and the opportunity was created on 2018-05-21, which is important for applicants to verify current availability or any reissued/replaced versions of the FOA before planning a submission. The program sits within NIH's health research portfolio and targets actionable research that can identify where safety breaks down in perinatal, neonatal, and pediatric care and demonstrate feasible, scalable approaches to preventing medical errors and protecting infants and children from avoidable harm.

FAQs: NIH Grant - Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care (R03 - Clinical Trial Optional)

What is the title of this NIH funding opportunity?

The funding opportunity is titled "Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care (R03 - Clinical Trial Optional)."

What is the Funding Opportunity Number (FON) for this program?

The Funding Opportunity Number is PA-18-791.

What CFDA number is associated with this opportunity?

The CFDA number listed is 93.865.

What is the main purpose of this grant opportunity?

This NIH opportunity supports small, focused research projects aimed at improving patient safety for newborns and young children, with particular emphasis on perinatal and neonatal care. It encourages collaborative research that produces practical knowledge about how and why medical errors occur in routine newborn care and high-acuity settings (such as neonatal intensive care units), and what can be done to prevent errors and reduce harm at multiple levels.

What does the R03 mechanism imply about project size and scope?

Because this is an R03 mechanism, it generally aligns with pilot or feasibility-style projects. The expectation is that projects will produce early evidence, refined methods, preliminary datasets, or proof-of-concept findings that help move a patient safety idea toward broader testing and adoption.

Which patient populations and care settings are emphasized?

The focus is on newborns and young children, emphasizing the perinatal and neonatal period. The scope includes both routine care settings and high-acuity environments such as neonatal intensive care units.

What types of research topics are within scope?

The scope is intentionally broad. It includes (but is not limited to) studies that (1) describe the epidemiology of medical errors and related harm in perinatal, neonatal, and pediatric settings, (2) identify and evaluate contributing factors across multiple levels (individual, team/workflow, technology/documentation, organizational policies, and culture), and (3) test interventions designed to reduce or eliminate errors.

What does "epidemiology of medical errors and related patient harm" mean in this context?

Within this FOA, epidemiology-oriented work can include measuring how often certain errors occur, what kinds of harms result, which populations are most affected, and how patterns differ across clinical environments, staffing models, or care processes.

What kinds of contributing factors does NIH want applicants to study?

The FOA highlights contributing factors at multiple levels, including individual clinician decision-making, communication and teamwork, workflow and handoffs, technology and documentation, organizational policies, and institutional culture.

Are intervention studies allowed, or is the FOA limited to observational research?

Intervention-oriented research is explicitly invited. Applicants may propose strategies to reduce or eliminate errors, including interventions targeting individuals, systems, or institutions, as long as the work fits the FOA and relevant NIH definitions and requirements.

What are examples of individual-level interventions mentioned in the announcement?

Examples include training, decision support, or checklists.

What are examples of system-level interventions mentioned in the announcement?

Examples include standardized protocols, redesigned care pathways, or improved handoff structures.

What are examples of institution-level interventions mentioned in the announcement?

Examples include safety culture initiatives, reporting systems, or policy changes.

Are clinical trials required under this FOA?

No. Clinical trials are optional under this announcement, meaning applicants may propose either observational/analytic studies or interventional studies, depending on what best fits their aims.

What does "Clinical Trial Optional" practically allow an applicant to propose?

It allows a wide range of project types, including chart review and safety surveillance, qualitative investigations of contributing factors, and pilot testing of a safety intervention in a clinical unit, as long as the chosen approach aligns with NIH definitions and requirements for that study type.

What kind of impact is NIH expecting from funded projects?

The FOA frames impact in practical terms: the knowledge gained should help health systems develop and refine strategies that reliably deliver the highest quality care with the least preventable harm during the perinatal and neonatal period, including intensive care contexts. The overall goal is safer, higher-quality care for newborn infants, emphasizing both safety and effectiveness.

Who is eligible to apply?

Eligibility is broad and includes many U.S.-based organizations and governmental entities. Eligible applicants include state, county, city, township, and special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; Native American tribal organizations (other than federally recognized tribal governments); public housing authorities and Indian housing authorities; nonprofits with or without 501(c)(3) status (excluding institutions of higher education when specified in the listing); for-profit organizations other than small businesses; and small businesses.

Does the FOA highlight any specific institution types as eligible?

Yes. The FOA explicitly highlights additional eligible categories such as Historically Black Colleges and Universities (HBCUs), Hispanic-serving Institutions, Tribally Controlled Colleges and Universities (TCCUs), Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), as well as faith-based or community-based organizations, eligible federal agencies, regional organizations, and U.S. territories or possessions.

Are non-U.S. (foreign) organizations eligible to apply?

No. The announcement restricts foreign participation. Non-U.S. entities (foreign organizations and foreign institutions) are not eligible to apply.

Can a U.S. organization include a non-domestic component on the application?

No. The FOA states that non-domestic components of U.S. organizations are not eligible.

Are foreign components allowed under NIH policy definitions?

No. The FOA indicates that foreign components, as defined by the NIH Grants Policy Statement, are not allowed.

What is the award ceiling indicated for this R03 opportunity?

The award information provided indicates an award ceiling of $50,000, consistent with small grant expectations under an R03 mechanism.

When was this opportunity created?

The opportunity was created on 2018-05-21.

What is the closing date listed for this opportunity?

The original closing date listed is 2021-09-07.

What should applicants do given the listed closing date?

Because the closing date listed is 2021-09-07, applicants should verify current availability and check whether the FOA has been reissued, replaced, or updated before planning a submission.

What broader NIH research area does this program fall under?

This opportunity sits within NIH's health research portfolio and targets actionable research to identify where safety breaks down in perinatal, neonatal, and pediatric care and to demonstrate feasible, scalable approaches to preventing medical errors and protecting infants and children from avoidable harm.

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