Recruiting

Timing of Physician Rounds for High-Risk Antepartum Patients

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Study Aim

The study investigates how the timing of physician rounds affects the care and outcomes of expectant mothers who are considered high-risk.

What is being tested

Discovery Rounding

+ Standard Rounding

Behavioral
Who is being recruted

Behavior

+ Communication

Over 18 Years
See all eligibility criteria
How is the trial designed

Other Study

Interventional
Study Start: November 2025
See protocol details

Summary

Principal SponsorDuke University
Study ContactHannah Kelly, MDMore contacts
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Study start date: November 4, 2025

Actual date on which the first participant was enrolled.

This research is focused on improving the hospital experience for patients with high-risk pregnancies who are staying in the hospital for a long time. These patients often need frequent visits from doctors, and the study is being conducted at Duke University Hospital. The aim is to find out if changing the timing of doctor visits can make these hospital stays better by improving how patients feel about the communication they have with their healthcare team. By potentially increasing satisfaction with communication, the study hopes to enhance the overall care experience for these patients. Participants in the study will experience one of two types of doctor visit schedules. In the standard schedule, doctors visit patients twice: an early morning visit at the bedside followed by a team discussion later. In the new approach being tested, called "discovery rounding," doctors will visit just once, later in the morning, after the team has reviewed all clinical data. This study is designed to see if having just one later visit makes patients feel better about how information is communicated to them. The research does not mention specific risks or benefits, but it focuses on measuring patient satisfaction with communication as an important outcome.

Official TitleEffect of Timing of Physician Rounds on Hospital Experience for High-Risk Antepartum Patients: A Randomized Controlled TrialTiming of Physician Rounds for Antepartum Patients 
NCT07215507
Principal SponsorDuke University
Study ContactHannah Kelly, MDMore contacts
Last updated: December 11, 2025
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

200 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Other Study

Some studies explore topics that don't fall into a specific category. These might include innovative research, new technologies, or emerging healthcare areas.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Female

Biological sex of participants that are eligible to enroll.

Over 18 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

BehaviorCommunication

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

Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Treatment Groups
Study Objectives

2 intervention groups are designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

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.

Group II

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.

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 2 locations

Recruiting

Duke University Hospital

Durham, United StatesSee the location
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Duke University Hospital

Durham, United States
Recruiting
2 Study Centers