Pedrano, Vitaliana D.

HRN: 22-09-01  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/26/2023
CEFTRIAXONE 1G (VIAL)
05/26/2023
06/01/2023
IVT
2g
OD
UTI
Checking Final Appropriateness 
05/28/2023
METRONIDAZOLE 500MG (TAB)
05/28/2023
06/04/2023
IV
500mg
TID
Helicobacter Pylori Infection
Checking Final Appropriateness 
05/28/2023
CLARITHROMYCIN 500MG (CAP)
05/28/2023
06/04/2023
PO
500mg
BID
Helicobacter Pylori Infection
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: