Hatib, Fauzan S.

HRN: 23-52-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/11/2023
AMPICILLIN 500MG (VIAL)
08/11/2023
08/18/2023
IV
450mg
Q6hours
Pneumonia, Low Risk
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: