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Checklist of Key Requirements and Guidelines

Partnerships in Implementing Patient Safety

This checklist is a compilation of key items of discussion generated from the Partnerships in Implementing Patient Safety (PIPS) Technical Assistance Conference Call.

Checklist of Key Requirements and Guidelines

This checklist is a compilation of key items of discussion generated from the Partnerships in Implementing Patient Safety (PIPS) Technical Assistance Conference Call.


  • Demonstrate that the project is doable, feasible, worthwhile, reasonable, and viable.
  • Demonstrate that the safe practice intervention does not focus solely on health information technology.*
  • Demonstrate the ability to implement the proposed safe practice intervention at the beginning of the grant award.*
  • Demonstrate the ability to take primary and lead responsibilities for the project as a whole, including research design and data collection.
  • Demonstrate the ability to meet the submission deadline for the Letter of Intent (optional), December 19, 2004.
  • Demonstrate the ability to meet the submission deadline for the application, January 19, 2005.
  • Describe potential barriers to the intervention's adoption and how these barriers can be overcome.*
  • Document and assess the intervention's projected impact on the process of care and the patient population.
  • Identify the patient population impacted by the risks and hazards.*
  • Limit the annual project budget to a maximum of $300,000 in total Federal costs.
  • Outline the expected benefit from the implementation of the safe practice.*
  • Specify the safe practice.*

Collaboration with AHRQ

  • Demonstrate a willingness to partner with AHRQ as the Agency will have substantial programmatic involvement in guiding, monitoring, and evaluating grant activities to address priority issues regarding implementing interventions to improve patient safety.
  • Understand that the Principal Investigator (PI) will retain custody of, and have primary rights to, data developed under the award, but that the Government has rights of use of the data consistent with current Federal policies.
  • Demonstrate the willingness to collaborate with AHRQ in developing and disseminating implementation toolkits and taking part in AHRQ Patient Safety Initiative dissemination activities.
  • Demonstrate the willingness to cooperate and collaborate with other AHRQ awardees and contractors working on patient safety improvements.
  • Demonstrate the willingness to partner with AHRQ program officials to publish analyses and syntheses of aggregated findings from the PIPS project.
  • Ensure that the budget allocates projected travel funding for one patient safety meeting per year (two meetings total) sponsored or supported by AHRQ.

Support and Commitment

  • Demonstrate the ability and willingness of the institution to provide appropriate support and commitment during the project as well as after the grant ends.
  • Demonstrate the institution's ability to spread appropriate support and commitment throughout the institution.
  • Outline specific contributions to the project and provide assurances that the organization and any collaborators are committed to providing these funds and resources to the project.


  • Anticipate the level of adoption and acceptance of the intervention by health care professionals within and outside the institution.*
  • Ensure that the intervention is appropriate, generalizable, replicable, and transferable to other institutions and other patient populations within the health care system.
  • Describe potential barriers to adoption and strategies for overcoming them.*

Risk Assessment

  • Demonstrate that a risk assessment has been completed that documents medical errors, risks, hazards, and harms to be addressed for the safe practice intervention.*
  • Document how the risk and hazards were identified and the priority for the organization was established.*


  • Demonstrate that the institution is eligible because it is a for profit or nonprofit organization, domestic institution, eligible Federal agency, public or private nonprofit institution (university, clinic, college, or hospital), unit of a State or local government, faith-based or community-based organization, or tribe or tribal organization.

Appropriate Skill Mix

  • Describe PI responsibilities and background.
  • Ensure that the PI and the team have the skills, knowledge, and resources necessary to carry out the implementation of safe practices and to successfully complete the project.
  • Ensure that the PI can devote a considerable portion of time (at least 15 percent) to the project.
  • Collaborate with AHRQ to devise the plan and process for developing the toolkit.*
  • Describe tools that are anticipated to result from the project, including important lessons learned and a well-developed implementation toolkit that AHRQ will widely disseminate.*
  • Identify resources and other tools that facilitate adaptation and/or adoption of the intervention.*
  • Specify the projected impact and generalizability of any tools developed.*

Evidence-based Safe Practices

  • Draw on evidence-based research from a variety of AHRQ-approved sources to provide supporting evidence that the intervention to be introduced is a safe practice.*
  • Justify the safe practice's selection as an intervention to eliminate or mitigate the medical errors, risks, and hazards identified.*

Implementation Plan

  • Provide a complete implementation plan for introducing the safe practice intervention into the health care delivery system that identifies a timeline, barriers and problems to be overcome, and costs and benefits to the institution of implementing the intervention.*

Evaluation Plan

  • Include an evaluation plan that focuses on the performance and effectiveness of the implementation of the intervention, describes how the intervention and its outcomes will be evaluated, and assesses the intervention's generalizability and resource implications.*

Dissemination Plan

  • Include a dissemination plan documenting and assessing the impact of the intervention on the process of care and patient populations.*

Review and Award Criteria

  • Approach.
  • Availability of funds.
  • Budget.
  • Environment.
  • Evaluation and assessment of impact.
  • Generalizability of intervention and its implementation.
  • Implementation toolkit.
  • Inclusion.
  • Innovation.
  • Investigators.
  • Numbers of patients or size of population.
  • Portfolio balance within AHRQ and Department of Health and Human Services (HHS) patient safety initiatives and activities.
  • Potential impact.
  • Programmatic balance.
  • Protection.
  • Responsiveness to RFA's goals and objectives.
  • Scientific merit.
  • Significance.
  • Substantial applicant institutional commitment and support.

Letter of Intent (Optional)


  • Descriptive title of proposed research.
  • Name, address, and telephone number of the PI.
  • Names of other key personnel.
  • Information about participating institutions.
  • Number and title of this funding opportunity.

Application Submission

Priority Populations To Consider

  • Children.
  • Elderly.
  • Inner-city and rural areas.
  • Low-income groups.
  • Minority groups.
  • Chronic diseases.
  • People with special health care needs.
  • Women.

Current as of October 2004


* Part of the Eight PIPS Project Requirements ("RFA Part II, Section III. Eligibility Information").

Page last reviewed October 2004
Internet Citation: Checklist of Key Requirements and Guidelines: Partnerships in Implementing Patient Safety. October 2004. Agency for Healthcare Research and Quality, Rockville, MD.


The information on this page is archived and provided for reference purposes only.


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