Abu, Homedi .

HRN: 22-28-63  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/03/2022
CEFTRIAXONE 1G (VIAL)
12/03/2022
12/09/2022
IVT
2g
OD
CAP-MR
Waiting Final Action 
12/03/2022
AZITHROMYCIN 500MG TABLET (TAB)
12/03/2022
12/14/2022
PO
500mg
OD
CAP-MR
Waiting Final Action 
12/07/2022
AZITHROMYCIN 500MG TABLET (TAB)
12/08/2022
12/09/2022
PO
500mg
OD
CAP MR In Immunocompromised
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: