Katie Raffel, MD
Assistant Professor, Medicine-Hospital Medicine
Graduate School :
MD, University of Chicago
(2013)
Undergraduate School:
BS, Xavier University (OH)
(2009)
Residency:
University of California (San Francisco)/University of California School of Public Health Program (General Preventive Medicine), Chief Resident, Internal Medicine (2016)
Fellow in Hospital Medicine, Society of Hospital Medicine
(2021)
Excellence in Teaching Award, UCSF Academy of Medical Educators
(2018)
Teaching Excellence Award for Cherished Housestaff (TEACH), University of California San Francisco SOM
(2015)
Research Interests
Dr. Raffel's research efforts have focused on identifying and describing diagnostic error among hospitalized adults. Most recently, she has served as a part of the core research team for an AHRQ-funded multi-site study evaluating diagnostic error among ICU escalations or inpatient death. In the UPSIDE (Using Predictive Systems to identify Inpatient Diagnostic Error) study, over 20 hospital sites are collaborating to review >2,000 triggered cases.
This work prompted the formation of the ADEPT (Achieving Diagnostic Excellence through Prevention and Teamwork) collaborative, an effort to better measure diagnostic accuracy among patients with care escalation and death in an effort to create multi-site benchmarking and improvement.
Publications
Berger AC, Simchoni N, Auerbach A, Brode WM, Kuperman E, Raffel K, Kubey A. Implementation of Clinical Practice Guidelines for Hospitalized Patients With COVID-19 in Academic Medical Centers. JAMA Netw Open. 2022 Apr 1;5(4):e225657. PubMed PMID: 35377428
Sun F, Lipinsky DeGette R, Cummings EC, Deng LX, Hauser KA, Kopp Z, Penner JC, Scott BS, Raffel KE, Kantor MA. Capturing what matters: A retrospective observational study of advance care planning documentation at an academic medical center during the COVID-19 pandemic. Palliat Med. 2022 Feb;36(2):342-347. PubMed PMID: 34920691
Sun F, Lipinsky DeGette R, Cummings EC, Deng LX, Hauser KA, Kopp Z, Penner JC, Scott BS, Raffel KE, Kantor MA. Capturing what matters: A retrospective observational study of advance care planning documentation at an academic medical center during the COVID-19 pandemic. Palliat Med. 2021 Dec 17;:2692163211065928. [Epub ahead of print] PubMed PMID: 34920691
Kantor MA, Scott BS, Abe-Jones Y, Raffel KE, Thombley R, Mourad M. Ask About What Matters: An Intervention to Improve Accessible Advance Care Planning Documentation. J Pain Symptom Manage. 2021 Nov;62(5):893-901. PubMed PMID: 34000334
Kantor MA, Scott BS, Abe-Jones Y, Raffel KE, Thombley R, Mourad M. Ask About What Matters: An Intervention to Improve Accessible Advance Care Planning Documentation. J Pain Symptom Manage. 2021 Nov;62(5):893-901. PubMed PMID: 34000334
Salazar JW, Sharpe B, Raffel K. Sunset Rounds: a Framework for Post-death Care in the Hospital. J Gen Intern Med. 2021 Mar;36(3):792-794. PubMed PMID: 33006080
Lim H, Raffel KE, Harrison JD, Kohlwes RJ, Dhaliwal G, Narayana S. Decisions in the Dark: An Educational Intervention to Promote Reflection and Feedback on Night Float Rotations. J Gen Intern Med. 2020 Nov;35(11):3363-3367. PubMed PMID: 32875511
Raffel KE, Kantor MA, Barish P, Esmaili A, Lim H, Xue F, Ranji SR. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. BMJ Qual Saf. 2020 Dec;29(12):971-979. PubMed PMID: 32753409
Raffel KE, Gupta N, Vercammen-Grandjean C, Hohman J, Ranji S, Pierluissi E, Mourad M. A Discharge Time-Out: A Case Study on Physician-Nurse Discharge Communication and the Challenge of Sustainability in Resident-Led Quality Improvement. Am J Med Qual. 2019 Jul Aug;34(4):381-388. PubMed PMID: 30345785
Foundations in Healthcare Leadership, Certificate
(2022)
Bias Reduction in Internal Medicine Training, Other
(2022)
Learning Health System Coaching Program, UCSF, Other
(2019)
Diversity Equity Inclusion Training, UCSF, Other
(2019)
Clinical Interests
Dr. Raffel recognizes the importance of the system of care in achieving excellent patient outcomes. She was one of a small inaugural cohort of faculty within the Learning Health System Coaching program at UCSF. This was a two-year intensive program to enhance faculty Lean Certification, mentorship of residents/fellows and coaching improvement efforts both within their Division and across the health system.
Dr. Raffel serves as the Medical Director for Inpatient Medicine Units at UCH. In this role, she leads interprofessional safety and improvement efforts on the five Medicine units (including ACE, Med-Cards).
Dr. Raffel currently serves as core faculty at the Institute for Healthcare Quality Safety and Efficiency, an organization dedicated to transforming people, processes and outcomes. In this role, she provides QI/safety education and direct coaching of improvement.
General Information
Graduate Schools:
MD, University of Chicago
(2013)
Undergraduate Schools:
BS, Xavier University (OH)
(2009)
Residency Programs:
University of California (San Francisco)/University of California School of Public Health Program (General Preventive Medicine), Chief Resident, Internal Medicine (2016)