Malalis, Alberto R.

HRN: 00-24-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/27/2022
CEFTRIAXONE 1G (VIAL)
07/27/2022
08/03/2022
IV
2gms
OD
CAP MR
Waiting Final Action 
07/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
07/27/2022
08/03/2022
PO
500mg
OD
CAP MR
Waiting Final Action 
01/21/2023
CEFTRIAXONE 1G (VIAL)
01/21/2023
01/27/2023
IVT
2g
OD
Pneumonia
Waiting Final Action 
01/21/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/21/2023
01/27/2023
PO
500mg
OD
Pneumonia
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: