Timing of Physician Rounds for High-Risk Pregnancy
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether adjusting the timing of doctor visits can enhance communication for patients with high-risk pregnancies. It compares two methods: the standard approach with two separate visits (Standard Rounding) and a new method that combines these into one visit later in the morning (Discovery Rounding). The goal is to determine if the new timing improves patient satisfaction with their care. Pregnant women more than 20 weeks along and staying at Duke University Hospital without certain complications may be eligible to join. As an unphased trial, this study provides a unique opportunity to contribute to improving patient care practices.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that these rounding methods are safe for high-risk pregnancy patients?
A previous study showed that both standard and discovery rounding methods are well-tolerated in managing high-risk pregnancies. No direct evidence from the study indicated any adverse effects related to the timing of doctor visits. These methods emphasize communication and care management, minimizing safety issues.
Standard rounding involves two visits: one early in the morning and another later in the day. Discovery rounding combines these visits into one later in the morning. This approach aims to improve communication and satisfaction without compromising patient safety. Existing data suggest that the timing and method of visits do not introduce significant risks to patients.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores an innovative approach to managing high-risk pregnancies called "Discovery Rounding." Unlike the traditional method of rounding, which involves early morning bedside visits and two separate patient encounters, Discovery Rounding streamlines the process. It eliminates early morning disturbances by focusing on electronic health record reviews before the team discussion and consolidates the bedside interaction to one mid-morning session. This approach not only aims to reduce patient disruption but also seeks to enhance the efficiency of care delivery and communication within the medical team.
What evidence suggests that these rounding methods could improve patient satisfaction for high-risk pregnancies?
Research has shown that having doctors visit patients in a single, later-morning meeting, known as discovery rounding, can enhance communication satisfaction among high-risk pregnancy patients. This approach avoids early wake-ups, allowing patients to rest better and be more attentive during discussions. In this trial, some participants will experience discovery rounding, while others will receive standard rounding. Previous studies on similar patient-focused care models have demonstrated that more focused interactions improve patient satisfaction with care. While specific data on the effectiveness of discovery rounding is still being gathered, the method aims to enhance the patient experience by prioritizing rest and meaningful communication.678910
Who Is on the Research Team?
Rachel Wood, MD
Principal Investigator
Duke University Hospital
Hannah Kelly, MD
Principal Investigator
Duke University Hospital
Are You a Good Fit for This Trial?
This trial is for patients admitted to the Antepartum service at Duke University Hospital without complications that prevent them from participating in delayed daytime rounding. It's designed for those managing high-risk pregnancies requiring extended hospital stays.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are randomized to either standard rounding or discovery rounding models during their hospital stay
Follow-up
Participants are monitored for satisfaction with communication and depressive symptoms
What Are the Treatments Tested in This Trial?
Interventions
- Discovery Rounding
- Standard Rounding
Find a Clinic Near You
Who Is Running the Clinical Trial?
Duke University
Lead Sponsor