Comparing Physician Rounding Methods for Pregnant Patients

This study at Duke University Hospital is looking at different ways doctors communicate with pregnant patients who are staying in the hospital for high-risk pregnancies. It compares two methods of physician rounds (when doctors visit patients): "Standard Rounding," which involves an early morning visit and a later team discussion, and "Discovery Rounding," where the team reviews your information first and then has a single, later morning visit. You may be able to join if you are a pregnant woman over 20 weeks gestation admitted to the antepartum (before childbirth) service. The study will measure success by how well patients rate communication using a tool called the Communication Assessment Tool (CAT). The current status of this study is unclear, and it aims to enroll 200 participants.

Study design
This is an interventional study that will randomly assign participants to one of two rounding methods. It aims to enroll 200 pregnant women.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your communication experience will be measured at either hospital day 6 or immediately after childbirth (postpartum day 0 or 1).

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NCT07215507

Timing of Physician Rounds for Antepartum Patients

Recruiting
NAAges 18+Interventional
Duke University
~200 participants
Updated 2026-01-29 on ClinicalTrials.gov
What's tested:Discovery RoundingStandard Rounding

At a glance

Recruiting sites
1 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Proportion of items rated as "Excellent" on the Communication Assessment Tool (CAT)
Measured over 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
Physician Rounds
Communication
2 sites across 1 states
North Carolina2
  • Hannah Kelly, MD · STUDY_DIRECTOR · Duke University Hospital
  • Rachel Wood, MD · PRINCIPAL_INVESTIGATOR · Duke University Hospital

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Eligibility criteria

Inclusion

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

Exclusion

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

    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.