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Martha's Rule

Martha's Rule is a patient safety initiative in the NHS (UK) that allows patients, families, and staff to request an urgent review if a patient's condition is deteriorating.The initiative is named after Martha Mills, a 13-year-old girl who died from sepsis in 2021 in a NHS hospital  after an inquest found that a change in care plan could have prevented her death. Her mother, Merope Mills, campaigned for the initiative.

Aim of Martha's Rule

The 3 components of Martha’s Rule are as follows (NHSE 2024):

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  1. Patients will be asked, at least daily, about how they are feeling, and if they are getting better or worse, and this information will be acted on in a structured way.

  2. All staff will be able, at any time, to ask for a review from a different team if they are concerned that a patient is deteriorating, and they are not being responded to.

  3. This escalation route will also always be available to patients themselves, their families and carers and advertised across the hospital.

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