Pallar, Pearl Grace .

HRN: 23-12-22  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/29/2023
CEFUROXIME 500MG (TAB)
05/29/2023
05/04/2023
PO
500mg
BID
Thickly Msaf
Checking Final Appropriateness 
05/29/2023
METRONIDAZOLE 500MG (TAB)
05/29/2023
06/04/2023
PO
500mg
TID
Thickly Msaf
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: