All Pathways
PathologyManagement

Critical Values Reporting Protocol (CAP)

Critical Values Reporting Protocol (CAP): Critical Value Identified → Verify Result → Type of Critical Value → Chemistry Critical Values → Notification ...

Interactive Decision Tree

Mini Map

Algorithm Steps

  1. Start

    Critical Value Identified

    Result meets critical threshold

    1. Action

      Verify Result

      Confirm accuracy before notification

      • Check specimen integrity
      • Review for pre-analytical errors
      • Consider repeat if questionable
      • Compare to prior values if available
      • Ensure correct patient ID
      1. Decision

        Type of Critical Value

        Chemistry, Hematology, Anatomic Path

        1. Action

          Chemistry Critical Values

          Common thresholds (institution-specific)

          • Glucose: <40 or >500 mg/dL
          • Potassium: <2.5 or >6.5 mEq/L
          • Sodium: <120 or >160 mEq/L
          • Calcium: <6.5 or >13.0 mg/dL
          • Troponin: Initial positive
          • Lactate: >4 mmol/L
          1. Action

            Notification Process

            Contact responsible provider

            • Direct verbal communication required
            • Contact ordering provider or covering MD
            • Escalation if unable to reach in 30-60 min
            • Do not leave voicemail as sole notification
            • After-hours: on-call provider or nursing
            1. Action

              Documentation

              Required elements

              • Date and time of call
              • Name of person notified
              • Read-back of result
              • Caller identification
              • Time from result to notification
              • Document in LIS and patient chart
              1. Outcome

                Critical Value Reported

                Notification complete and documented

            2. Warning

              Escalation

              If unable to notify

              • Supervisor notification
              • Alternative provider contacted
              • Hospital operator/page operator
              • Document all attempts
              • Follow institutional policy
        2. Action

          Hematology Critical Values

          Common thresholds

          • Hemoglobin: <7 or >20 g/dL
          • Platelets: <20,000 or >1,000,000/μL
          • WBC: <2,000 or >100,000/μL
          • PT/INR: >5.0
          • PTT: >100 sec (on heparin)
          • Fibrinogen: <100 mg/dL
        3. Action

          Anatomic Path Critical Values

          Findings requiring urgent notification

          • Unexpected malignancy
          • Leukemia/lymphoma on frozen
          • Organisms in CSF/blood/tissue
          • Positive acid-fast smear
          • Acute rejection (transplant)
          • Unexpected diagnosis affecting surgery

Guideline Source

CAP Laboratory Critical Values Guidelines

Clinical Safety Information

Clinical Decision Support — Not a Substitute for Clinical Judgment

Individual patient factors may require deviation from these recommendations.

Known Limitations

  • Critical values vary by institution
  • Does not include all possible critical results
  • Notification time requirements vary
  • Read-back documentation essential
  • Escalation procedures differ by lab

Applicable Regions

USAUUKEU

AU: NPAAC notification requirements

UK: CQC laboratory standards

US: CAP and TJC requirements

Version 1Next review: 2027-01-01

Frequently Asked Questions

What is the Critical Values Reporting Protocol (CAP)?

The Critical Values Reporting Protocol (CAP) is a management clinical algorithm for Pathology. It provides a structured decision tree to guide clinical decision-making, based on CAP Laboratory Critical Values Guidelines.

What guideline is the Critical Values Reporting Protocol (CAP) based on?

This algorithm is based on CAP Laboratory Critical Values Guidelines (DOI: 10.5858/arpa.2021-0074-CP).

What are the limitations of the Critical Values Reporting Protocol (CAP)?

Known limitations include: Critical values vary by institution; Does not include all possible critical results; Notification time requirements vary; Read-back documentation essential; Escalation procedures differ by lab. Individual patient factors may require deviation from these recommendations.

Get AI-Powered Analysis Alongside This Algorithm

In AttendMe.ai, the Critical Values Reporting Protocol (CAP) appears automatically when your clinical question matches — alongside evidence from 3M+ peer-reviewed articles.

Try AttendMe Free