Abstract: A critical test results management system and method for capturing test data from a test results providing program and delivering messages to interested recipients. The system and method generating alerts, escalating the alerts to message receiving devices, and tracking the status of the alerts. The recipient of an alert can access the system to obtain the contents of the alert, acknowledge receipt of the alert, and record notes related to the alert. The invention tracks when alerts were sent and if they have been acknowledged. If the alerts are not acknowledge prior expiration of a predetermined time period, further alerts are escalated to the recipient, to different receiving devices, or to different recipients.