Timing of Physician Rounds for Antepartum Patients

NCT07215507 | Recruiting

• 1 other identifier: Pro00118226
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 2

Brief Summary

This study will include patients admitted to the Antepartum service at Duke University Hospital, many of whom are managing high-risk pregnancies that require extended hospital stays and frequent physician interactions. Currently, two rounding methods are used interchangeably for patients who do not have pregnancy or delivery complications that would preclude participation in delayed daytime rounding. This randomized controlled trial will compare two rounding models: the standard model, in which patients receive two rounds (an early morning bedside encounter and a later team discussion), and the intervention model, which consolidates both rounds into a single, later-morning bedside encounter following the team's review of clinical data. The primary objective is to assess whether consolidating physician rounds into a single, later-morning encounter-referred to as discovery rounding-improves patient satisfaction with communication.

Conditions

Physician Rounds; Communication

Outcome Measures

Primary Outcomes (1)

• Proportion of items rated as "Excellent" on the Communication Assessment Tool (CAT)

  The CAT measures patients' perceptions of physician communication across 15 specific behaviors, such as listening carefully, showing respect, explaining information clearly, and spending sufficient time with the patient. Each item is rated on a 5-point Likert scale ranging from "Poor" to "Excellent." By focusing on the frequency of "Excellent" ratings, the CAT provides a robust, patient-centered measure of the effectiveness and impact of physician communication during hospitalization.

  One of the following timepoints (whichever comes first for that patient); Hospital day 6 or the immediate postpartum period: postpartum day 0 or 1, depending on the time of delivery

Secondary Outcomes (1)

• Edinburgh Postnatal Depression Scale (EPDS)

  At the 6 week postpartum visit

Study Arms (2)

Standard Rounding

ACTIVE COMPARATOR

The current standard of rounding on the Antepartum service involves a preliminarily bedside encounter with patients between 5-7am by a resident +/- medical student before an attending physician-led Antepartum team discussion from 8-9am. The patient is then rounded on for a second time in the late morning by the entire Antepartum team where patient concerns are heard and care plans for the day are relayed/reiterated/cemented.

Behavioral: Standard Rounding

Discovery Rounding

EXPERIMENTAL

For certain patients with appropriate clinical risk factors, our service has adopted a policy of "discovery rounding". This method involves solely electronic health record chart review prior to the 8am attending-led Antepartum team discussion where the patient's overnight events are "discovered", clinical courses discussed, and daytime plans proposed. "Discovery rounding" consolidates bedside physician-patient encounters to one mid-morning interaction, forgoing early morning disturbances.

Behavioral: Discovery Rounding

Interventions

Discovery Rounding BEHAVIORAL

For certain patients with appropriate clinical risk factors, our service has adopted a policy of "discovery rounding". This method involves solely electronic health record chart review prior to the 8am attending-led Antepartum team discussion where the patient's overnight events are "discovered", clinical courses discussed, and daytime plans proposed. "Discovery rounding" consolidates bedside physician-patient encounters to one mid-morning interaction, forgoing early morning disturbances.

Discovery Rounding

Standard Rounding BEHAVIORAL

The current standard of rounding on the Antepartum service involves a preliminarily bedside encounter with patients between 5-7am by a resident +/- medical student before an attending physician-led Antepartum team discussion from 8-9am. The patient is then rounded on for a second time in the late morning by the entire Antepartum team where patient concerns are heard and care plans for the day are relayed/reiterated/cemented.

Standard Rounding

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Pregnant women greater than 20 weeks gestation admitted to the antepartum list at Duke University Hospital

You may not qualify if:

• Stillbirth
• ICU admission
• Admission to off-service unit
• Active magnesium sulfate administration
• Active severe hypertension or initiation of anti-hypertensive pathway within past 8 hours
• Category II fetal heart rate tracing
• Other pregnancy/delivery complication precluding delayed rounding
• Unstable/unsuitable condition per overnight team or attending physician
• Previously enrolled/on active board \>1 day at morning rounds
• Postpartum readmission
• Antepartum admission within the last 4 weeks

Sponsors & Collaborators

• Duke University: lead

Study Sites (2)

Duke University Hospital

Durham, North Carolina, 27710, United States

NOT YET RECRUITING

Duke University Hospital

Durham, North Carolina, 27710, United States

RECRUITING

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Hannah Kelly, MD

  Duke University Hospital

  STUDY DIRECTOR

• Rachel Wood, MD

  Duke University Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Hannah Kelly, MD

CONTACT

832-967-7998; hannah.kelly@duke.edu

Rachel Wood, MD

CONTACT

rachel.wood@duke.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 8, 2025
• First Posted: October 10, 2025
• Study Start: November 4, 2025
• Primary Completion (Estimated): January 30, 2027
• Study Completion (Estimated): February 20, 2027
• Last Updated: January 29, 2026

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)