Miro, Roberto B.

HRN: 05-59-43  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/17/2022
AZITHROMYCIN 500MG TABLET (TAB)
11/17/2022
11/21/2022
PER OREM
500mg
OD
Pulmonary Infection/ Infiltrates
Waiting Final Action 
11/17/2022
CEFTRIAXONE 1G (VIAL)
11/17/2022
11/23/2022
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: