San Juan, Rodrigo .

HRN: 00-19-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/23/2025
CEFTRIAXONE 1G (VIAL)
01/23/2025
01/30/2025
IV
2g
Q24H
CAP MR
Waiting Final Action 
01/23/2025
AZITHROMYCIN 500MG TABLET (TAB)
01/23/2025
01/28/2025
PO
500mg
OD
CAP-MR
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: