Denila, Pepito .

HRN: 24-63-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/21/2024
CEFTRIAXONE 1G (VIAL)
03/21/2024
03/27/2024
IV
2 Gm
OD
PTB
Waiting Final Action 
03/21/2024
AZITHROMYCIN 500MG TABLET (TAB)
03/21/2024
03/27/2024
ORAL
500 Mg
OD
PTB
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: