Bido, Masdia A.

HRN: 09 88 65  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/30/2023
CEFTRIAXONE 1G (VIAL)
09/30/2023
10/06/2023
IV
2gm
OD
Cap MR
Checking Final Appropriateness 
09/30/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/30/2023
10/04/2023
PO
500mg
OD
CAP MR
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: