Ebrahim, Jamesa .

HRN: 26-16-50  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/02/2024
CEFUROXIME 500MG (TAB)
11/02/2024
11/08/2024
PO
500mg
BID
Outside Delivery
Waiting Final Action 
11/02/2024
METRONIDAZOLE 500MG (TAB)
11/02/2024
11/08/2024
PO
500mg
TID
Outside Delivery
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: