Liwagon, Victorio .

HRN: 23-58-25  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/21/2023
CEFTRIAXONE 1G (VIAL)
08/21/2023
08/27/2023
IV
2g
OD
Cap Mr
Waiting Final Action 
09/08/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/08/2023
09/12/2023
ORAL
1 Tab
OD
Pneumonia
Waiting Final Action 
09/08/2023
CEFTAZIDIME 1GM (VIAL)
09/08/2023
09/14/2023
IV
1 G
Q8
Pneumonia
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: