Hisoler, Democrito .

HRN: 23-82-89  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/04/2023
CEFTRIAXONE 1G (VIAL)
10/04/2023
10/10/2023
IV
2g
OD
CAP-MR
Waiting Final Action 
10/04/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/04/2023
10/10/2023
PO
500mgtab
Q24
Cap Mr
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: