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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Martha's Rule in a Paediatric ED: A pre- and post-implementation Survey.

J Coveney, D Magnus

Irish Medical Journal

|February 23, 2026

Summary

Martha's Rule, a patient safety initiative, did not increase staff workload or negatively impact patient flow in the Clinical Decision Unit (CED) according to senior staff. Early results suggest initial concerns about its implementation were unfounded.

Area of Science:

Patient Safety
Healthcare Management

Background:

Martha's Rule is a patient safety initiative implemented in the NHS.
It empowers patients and families to request urgent reviews for deteriorating conditions.

Purpose of the Study:

To assess staff opinions on Martha's Rule's impact on workload and department flow.
To evaluate the practical effects of Martha's Rule implementation in the Clinical Decision Unit (CED).

Main Methods:

Pre- and post-implementation questionnaires were emailed to senior staff in the CED.
Data from 17 pre-implementation and 15 post-implementation responses were analyzed.

Main Results:

Initially, 100% of surveyed staff believed Martha's Rule would increase workload, and 88% predicted negative patient flow impacts.

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After 6 months, 87% of surveyed staff felt workload and patient flow were not negatively affected.

Conclusions:

Perceived negative impacts of Martha's Rule on workload and patient flow may not materialize in practice.
Early findings suggest the initiative can be implemented without compromising operational efficiency in the CED.