Jagoni, Sabdani B.

HRN: 01-13-14  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/23/2024
AZITHROMYCIN 500MG TABLET (TAB)
05/23/2024
05/28/2024
PO
500mg
OD
CAP-LR
Waiting Final Action 
05/24/2024
METRONIDAZOLE 500MG (TAB)
05/24/2024
05/30/2024
IV
500
TID
Infectious Diarrhea
Waiting Final Action 
05/25/2024
CO-AMOXICLAV 625MG (TAB)
05/25/2024
06/01/2024
PO
625mg/tab
Q8hr
CAP-LR
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: