{"entity":{"id":"idea-data-standard-of-care-change-alerts","kind":"idea","name":"Subscribable alerts when the standard of care changes for a patient's situation","aka":[],"tldr":"Doctors and patients could subscribe to a specific cancer, stage and biomarker and be told, with sources, the moment the recommended treatment changes for that situation.","summary":"Practice changes reach clinicians and patients through conferences, news and word of mouth. With computable guidelines and structured trial results, a change in recommendation for a defined population (for example, HER2-low metastatic breast cancer, second line) can be detected and pushed as a structured alert with the evidence and plain-language summary, to clinicians via the EHR and to patients via apps, with a flag for patients who may be affected.","asOf":"2026-09-08","links":[{"label":"Bottleneck evidence (Knowledge reaches practice too slowly): Morris, Wooding & Grant, The answer is 17 years, what is the question (JRSM 2011)","url":"https://doi.org/10.1258/jrsm.2011.110180"}],"tags":[],"related":["idea-data-computable-living-guidelines","idea-data-plain-language-summary-mandate"],"cancers":[],"sections":["ai-computation"],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-knowledge-diffusion","b-patient-voice"],"keyPapers":["paper-morris-j-r-soc-med"],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Situation-specific alerts will shorten the time between a practice-changing result and its application to eligible patients, especially in community settings.","rationale":"Personalised, timely, actionable messages outperform broadcast dissemination in behaviour change research; oncology has never had the structured backbone to send them.","test":"Offer alerts to clinicians in a network for one year covering ten practice changes; compare uptake in their eligible patients with non-subscribers via structured data.","maturity":"speculative","actor":"engineering","cost":"small","horizonYears":2},"route":"/ideas/idea-data-standard-of-care-change-alerts/","neighbours":{"idea":[{"id":"idea-data-plain-language-summary-mandate","kind":"idea","name":"A plain-language summary of every cancer trial result within a year","route":"/ideas/idea-data-plain-language-summary-mandate/"},{"id":"idea-data-computable-living-guidelines","kind":"idea","name":"Living guidelines published as versioned, computable rules","route":"/ideas/idea-data-computable-living-guidelines/"}],"section":[{"id":"ai-computation","kind":"section","name":"AI & Computation","route":"/fronts/ai-computation/"}],"bottleneck":[{"id":"b-knowledge-diffusion","kind":"bottleneck","name":"Knowledge reaches practice too slowly","route":"/bottlenecks/b-knowledge-diffusion/"},{"id":"b-patient-voice","kind":"bottleneck","name":"Patients lack understanding, navigation and agency","route":"/bottlenecks/b-patient-voice/"}],"paper":[{"id":"paper-morris-j-r-soc-med","kind":"paper","name":"The answer is 17 years, what is the question: understanding time lags in translational research","route":"/key-papers/paper-morris-j-r-soc-med/"}]}}