A Pragmatic Cluster Randomized Controlled Trial to Standardize Attending Morning Rounds in Medicine

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Attending morning rounds take place at teaching hospitals every day. They are the primary mechanism for patient care delivery, supervision and education of trainees, and communication with patients, families, and staff. However, they are done with little standardization or widely recognized best practices.

The objective of this quality improvement (QI) initiative is to evaluate the adherence to and impact of implementing standardized attending morning rounds on medicine teams at our institution. A standardized rounding intervention has been developed which includes specific guidance on completing the following activities during morning rounds: (1) Pre-rounds discretion; (2) Pre-rounds huddle; (3) Bedside registered nurse (RN) integration; (4) Patient-centered rounding; (5) Real-time order writing.

This trial will randomize half of the investigators' medicine teams at University of California San Francisco to this rounding intervention whilst the other half will be randomized to continue with usual unstandardized rounding practices.

The investigators will compare medicine teams randomized to undertake standardized rounding to those teams undertaking usual practice. Outcomes assessed will relate to the patient (e.g. satisfaction), providers (e.g. satisfaction), efficiency (e.g. total morning round time) as well as adherence to the intervention .

The investigators' study hypotheses are that patient satisfaction scores will be higher for those patients receiving standardized bedside rounds compared to the usual care group. The investigators also hypothesize that total attending morning rounds time and interns length of workday will be shorter and that the number of consultations ordered before noon will increase for those teams undertaking standardized bedside. Further, the investigator hypothesize higher levels of nurse participation, physician and medical student satisfaction with standardized bedside rounding.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Physician Awareness of Patients' Preferred Level of Involvement in Decision Making

NCT05314959

Preferred Level of Involvement in Decision Making

COMPLETED NA

Evaluating a Physician Opinion Leader Intervention to Increase Utilization of Coaching/Therapy During Residency

NCT05499468

Workplace Culture Help-Seeking Behavior Social Stigma +1 more

COMPLETED NA

Improving Shared-Decision Making in the Intensive Care Unit Using Patient-reported Outcome Information

NCT05155150

Intensive Care Unit Syndrome Patient Engagement

UNKNOWN NA

Impact of Video Presentations on Medical Students' Attitudes Toward Mental Illness

NCT03231761

Stigmatization Depression Psychosis

COMPLETED NA

Add-on Video-based Training on Mental Status Examination Skills

NCT05795387

Medical Education

COMPLETED NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Morning Rounds Teaching Rounds Hospitalization Inpatients Quality Improvement

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Standardized attending morning rounds

1. Pre-rounds discretion
2. Pre-rounds huddle
3. Bedside RN integration
4. Patient-centered rounding
5. Real-time order writing

Group Type EXPERIMENTAL

Standardized attending morning rounds

Intervention Type OTHER

Usual rounding practice

Usual rounding practice (as defined by each clinical team)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Standardized attending morning rounds

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All attending physicians, residents, interns and medical students of Medicine teams A through H
* All patients admitted to Medicine teams A through H
* All nurses on the Medicine floors