Timing of Physician Rounds for Antepartum Patients

"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."

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.