Panduma, Manuel G.

HRN: 01-98-62  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/19/2022
CEFTRIAXONE 1G (VIAL)
07/19/2022
07/25/2022
IV
2g
Q 24H
Complicated UTI, Pneumonia
Waiting Final Action 
07/19/2022
AZITHROMYCIN 500MG TABLET (TAB)
07/19/2022
07/21/2022
PO
500mg
Q 24H
Pneumonia
Waiting Final Action 
07/21/2022
AZITHROMYCIN 500MG TABLET (TAB)
07/21/2022
07/24/2022
PO
500mg
Q 24H
Pneumonia
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: