Actoy, Alberto .

HRN: 28-13-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/23/2025
CEFTRIAXONE 1G (VIAL)
11/23/2025
11/29/2025
IV
2g
OD
Sabdural Hemorrhage Sec To TBI
Checking Initial Appropriateness 
11/25/2025
AZITHROMYCIN 500MG TABLET (TAB)
11/25/2025
11/29/2025
PO
500mg
Od
Capmr
Checking Final Appropriateness 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: