ArticleFuture healthcare journal2025
Giving patients, families and staff a reliable voice in acute care: Expert guidance for implementation of Martha's Rule in UK hospitals.
Article in Future healthcare journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient and family activated escalation systems: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Pooled it
- Patient and relative understanding of Martha's Rule: identifying barriers to patient-activated escalation in a mature system.Frontiers in health services · 2026Article
- Healthcare on a burning planet.Future healthcare journal · 2025Article
- Martha's Rule and the perioperative team: What changes, and what still needs to.Journal of perioperative practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
'Failure to rescue' in patients with documented signs of deterioration results in an estimated five potentially avoidable deaths at each acute trust in England each month. One common cause is inattention to concerns of patients or their families about acute deterioration. Martha's Rule requires reliable methods for (1) patients or their families to escalate worries and concerns about deterioration and (2) to routinely input their understanding of their illness/wellness and trajectory into the health record. This paper sets out the rationale for these approaches. Following review with staff from the first wave of British units that have introduced Martha's Rule or similar systems, the authors suggest tested and evidence-based methods for implementation and describe gaps in current understanding of such systems. Importantly, the paper outlines answers to frequently voiced concerns about these sorts of methods and a set of suitable metrics for organisations to measure the impact of implementation on processes and outcomes in acute care.
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What OpenQuestion holds
Registered trials
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.