Cabeltes, Reyven N.

HRN: 24-07-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/07/2023
RIFAXIMIN 200MG (TAB)
11/07/2023
11/10/2023
PO
200mg
TID
Infectious Diarrhea
Checking Final Appropriateness 
11/08/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/08/2023
11/12/2023
ORAL
500mg
OD
Cap Lr
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: