Hasin, Purong B.

HRN: 24-01-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/30/2023
CEFTRIAXONE 1G (VIAL)
10/30/2023
11/05/2023
IV
2g
Q24
CAP MR
Checking Final Appropriateness 
10/30/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/30/2023
11/03/2023
PO
500mg
Q24
CAP MR
Checking Final Appropriateness 
11/03/2023
CEFTAZIDIME 1GM (VIAL)
11/03/2023
11/09/2023
IV
1g
Q8
Pleural Effusion, 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: