Leopan, John L.

HRN: 22-00-61  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/31/2023
CEFTAZIDIME 1GM (VIAL)
10/31/2023
11/07/2023
IV
1g
Q8
CAP MR; TC PTB Relapse
Waiting Final Action 
10/31/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/31/2023
11/05/2023
TAB
500mg
Q24
CAP MR
Waiting Final Action 
11/07/2023
CEFIXIME 200MG (CAP)
11/07/2023
11/14/2023
PO
200 Mg
BID
CAP MR
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: