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Timing of Physician Rounds for Antepartum Patients
Effect of Timing of Physician Rounds on Hospital Experience for High-Risk Antepartum Patients: A Randomized Controlled TrialTiming of Physician Rounds for Antepartum Patients
Who can join
Ages 18 and older · Women
Full eligibility criteria
Inclusion Criteria: * Pregnant women greater than 20 weeks gestation admitted to the antepartum list at Duke University Hospital Exclusion Criteria: * 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
About the study
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.
What is being tested
- Discovery Rounding (behavioral)
- Standard Rounding (behavioral)
Sponsor: Duke University · Participants: 200 · Started: Nov 4, 2025
Contact the study team
- Hannah Kelly, MD · Phone: 832-967-7998
Official record on ClinicalTrials.gov — NCT07215507
Locations in the U.S.
| North Carolina | Duke University Hospital, Durham (Not yet recruiting) Duke University Hospital, Durham |
From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.