Anito, Antonio T.

HRN: 00-31-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/05/2023
CEFTRIAXONE 1G (VIAL)
11/05/2023
11/12/2023
IV
2gms
OD
CAP MR
Checking Final Appropriateness 
11/05/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/05/2023
11/09/2023
PO
500mg
OD
CAP MR
Checking Final Appropriateness 

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: