What is Martha’s Rule?

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Martha’s Rule is a patient safety initiative in England that allows patients and their families to seek an urgent review from a critical care outreach team if they are concerned about a patient’s deteriorating condition and feel their concerns are not being adequately addressed.

This rule was created in response to the death of Martha Mills, who died after developing sepsis in the hospital, and whose family felt their concerns about her deteriorating condition were not taken seriously.

Key aspects of Martha’s Rule

Right to a second opinion

It gives patients and their families the right to request a rapid review from a different team if they are worried about a patient’s condition.

Rapid response

The review is intended to be prompt and timely, ensuring that concerns are addressed quickly.

Empowerment

Martha’s Rule aims to empower patients, families, and staff to speak up when they have concerns about a patient’s health.

Focus on deterioration

The rule specifically addresses situations where a patient’s condition is worsening and the existing care team’s response is not sufficient.

Implementation

Martha’s Rule is being rolled out in phases across England, starting with at least 100 NHS sites.

Named after Martha Mills

The initiative is named in memory of Martha Mills, whose tragic case highlighted the need for such a system.

Not just for families

While it was created in response to a family’s experience, Martha’s Rule applies to all hospital staff as well.

In essence, Martha’s Rule is about ensuring that patients and their families have a voice when it comes to their care, especially when a patient’s condition is deteriorating, and that their concerns are taken seriously and addressed appropriately.