Pan, Juliet T.

HRN: 26-18-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/08/2024
CEFTRIAXONE 1G (VIAL)
11/08/2024
11/14/2024
IV
2g
Q24h
CAP-MR
Waiting Final Action 
11/08/2024
AZITHROMYCIN 500MG TABLET (TAB)
11/08/2024
11/12/2024
PO
500mgv
OD
Cap-mr
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: