Aya-ay, Benito L.

HRN: 23-82-73  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/02/2023
CEFTRIAXONE 1G (VIAL)
10/02/2023
10/08/2023
IVTT
2g
OD
Cap-MR
Checking Final Appropriateness 
10/05/2023
CLARITHROMYCIN 500MG (CAP)
10/05/2023
10/11/2023
PO
500mgtab
Q12
Cap Mr
Checking Final Appropriateness 
10/16/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/16/2023
10/22/2023
IV
2.25g
Q6
CAP HR
Waiting Final Action 
10/16/2023
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
10/16/2023
10/22/2023
IV
2.25g
Q6
CAP HR
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: