Managing, Reymond G.

HRN: 23-44-06  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/26/2023
CEFTRIAXONE 1G (VIAL)
07/26/2023
08/01/2023
IV
2g
OD
Complicated Urinary Tract Infection
Waiting Final Action 
07/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
07/27/2023
08/01/2023
PO
500mg
OD
CAP-MR
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: