Esio, Enrico P.

HRN: 04-60-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/04/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/04/2023
09/09/2023
ORAL
500mg
OD
CAP MR
Waiting Final Action 
09/04/2023
CEFTRIAXONE 1G (VIAL)
09/04/2023
09/11/2023
IV
2 Grams
OD
CAP-MR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: