Amsalih, Ansally M.

HRN: 12-36-55  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/23/2025
CEFTAZIDIME 1GM (VIAL)
06/23/2025
06/29/2025
IV
1g
Q8h
CAP-MR
Remove - Pending Acceptance
06/23/2025
AZITHROMYCIN 500MG TABLET (TAB)
06/23/2025
06/27/2025
PO
500mg
Od
Cap-MR
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: