Dela Rosa, Porferio I.

HRN: 23-55-28  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/12/2023
11/19/2023
PO
500mg
OD
Cap Mr
Waiting Final Action 
11/12/2023
CEFTRIAXONE 1G (VIAL)
11/12/2023
11/19/2023
IV
2g
Q24
Cap Mr
Waiting Final Action 
11/13/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
11/13/2023
11/19/2023
IV
4.5gm
Q6
Lung Abscess
Waiting Final Action 
11/23/2023
LEVOFLOXACIN 500MG (TAB)
11/23/2023
11/29/2023
IVTT
500mg
Q24h
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: