Evidence map›Paper›PMID 38184371›Full record

ArticleJournal of medical ethics2025

Getting rights right: implementing 'Martha's Rule'.

Mackenzie Graham, Isabel Hanson, James Hart, Peter Young, Sapfo Lignou, Michael J Parker, Mark Sheehan

Abstract read
In one paragraph

Article in Journal of medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mackenzie GrahamEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK mackenzie.graham@philosophy.ox.ac.uk.ORCID 0000-0001-6870-1370
Isabel HansonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
James HartEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Peter YoungEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Sapfo LignouEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Michael J ParkerEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Mark SheehanEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

The UK government has recently committed to adopting a new policy-dubbed 'Martha's Rule'-which has been characterised as providing patients the right to rapidly access a second clinical opinion in urgent or contested cases. Support for the rule emerged following the death of Martha Mills in 2021, after doctors failed to admit her to intensive care despite concerns raised by her parents. We argue that framing this issue in terms of patient rights is not productive, and should be avoided. Insofar as the ultimate goal of Martha's Rule is the provision of a clinical service that protects patient safety, an approach that focuses on the obligations of the health system-rather than the individual rights of patients-will better serve this goal. We outline an alternative approach that situates rapid clinical review as part of a suite of services aimed at enhancing and protecting patient care. This approach would make greater progress towards addressing the difficult systemic issues that Martha's Rule does not, while also better engaging with the constraints of clinical practice.

Indexed as

Patient RightsHumansPatient SafetyUnited KingdomEthicsEthics- MedicalMedical ErrorsPublic Policy

Identifiers

PMID38184371
PMCPMC11877020

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.