Bala, Amado A.

HRN: 24-07-27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/08/2023
CEFTRIAXONE 1G (VIAL)
11/08/2023
11/14/2023
IVTT
2g
Od
Cap-MR
Waiting Final Action 
11/09/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/09/2023
11/23/2023
PO
1 Gram
BID
PUD
Waiting Final Action 
11/09/2023
CLARITHROMYCIN 500MG (CAP)
11/09/2023
11/23/2023
PO
500 Mg
BID
PUD
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: