Matin-ao, Felix .

HRN: 23-11-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/27/2023
CEFTRIAXONE 1G (VIAL)
05/27/2023
06/03/2023
IV
1g
OD
Sepsis
Checking Final Appropriateness 
05/28/2023
AZITHROMYCIN 500MG TABLET (TAB)
05/28/2023
05/30/2023
PO
500mg
OD
CAP MR
Checking Final Appropriateness 
05/28/2023
CEFUROXIME 500MG (TAB)
05/28/2023
06/04/2023
PO
500mg
BID
CAP MR
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: