Serino, Sofronio .

HRN: 26-68-45  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2025
AZITHROMYCIN 500MG TABLET (TAB)
02/12/2025
02/16/2025
ORAL
500mg
OD
CAP-MR
Waiting Final Action 
02/12/2025
CEFTRIAXONE 1G (VIAL)
02/12/2025
02/19/2025
IV
2g
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:



 If inappropriate:

              

Overall appropriateness: