Balida, Ruben .

HRN: 23-30-17  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/10/2023
CEFTRIAXONE 1G (VIAL)
07/10/2023
07/16/2023
IVT
2g
Od
Pleural Effusio
Waiting Final Action 
07/28/2023
LEVOFLOXACIN 500MG (TAB)
07/28/2023
08/04/2023
PO
500mg
OD
CAP MR
Waiting Final Action 
07/10/2023
DOXYCYCLINE 100MG (CAP)
08/14/2023
08/14/2023
IV
100mg
10 Caps Now
Pleurodesis
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: