Sabayton, Felisimo R.

HRN: 00-83-13  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/09/2024
CIPROFLOXACIN 500MG (TAB)
01/09/2024
01/15/2024
PO
500mgtab
Q12
Acute Infectious Diarrhea
Waiting Final Action 
01/11/2024
METRONIDAZOLE 500MG (TAB)
01/11/2024
01/17/2024
PO
500mg
TID
Infectious Diarrhea
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: