Pantas, Maria Desiree .

HRN: 04-57-82  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/12/2023
CEFUROXIME 500MG (TAB)
09/12/2023
09/18/2023
PO
500
BID
Thickly Msaf
Checking Final Appropriateness 
09/12/2023
METRONIDAZOLE 500MG (TAB)
09/12/2023
09/18/2023
PO
500
BID
Thickly Masf
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: