Delizo, Honorio .

HRN: 24-07-95  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/12/2023
CEFTAZIDIME 1GM (VIAL)
11/12/2023
11/14/2023
IV
1g
Q8
COPD IN AE
Waiting Final Action 
11/16/2023
CEFTAZIDIME 1GM (VIAL)
11/12/2023
11/18/2023
IV
1gm
Q8
CAP
Waiting Final Action 
11/17/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/17/2023
11/21/2023
PO
500 Mg
0d
Cap
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: