Engracia, Fernando P.

HRN: 23-23-86  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/28/2023
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
06/28/2023
07/05/2023
IV INFUSION
1.5G
Q8h
Cap Mr
Waiting Final Action 
06/28/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/28/2023
07/03/2023
ORAL
500mg/tab
OD
CAP MR
Waiting Final Action 
06/29/2023
CEFTAZIDIME 1GM (VIAL)
06/29/2023
07/06/2023
1G
IV
Q8H
CAP MR; T/C PTB Relapse
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: