Corpuz, Alberta .

HRN: 23-16-39  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/20/2023
CEFTAZIDIME 1GM (VIAL)
06/20/2023
06/27/2023
IV
1g
TID
PTB Vs Parapneumonic Process
Waiting Final Action 
06/20/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/20/2023
06/24/2023
PO
500mg
OD
PTB Vs Parapneumonic Process
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: