Maraña, Elizabeth S.

HRN: 22-12-42  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/30/2022
11/03/2022
PER OREM
500mg
OD
Pulmonary Infection/ Infiltrates
Waiting Final Action 
10/30/2022
CEFTRIAXONE 1G (VIAL)
10/30/2022
11/05/2022
IVTT
2g
Q24
Pulmonary Infection/ Infiltrates
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: