Mangumpit, Perry An R.

HRN: 15-57-40  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/21/2024
CEFUROXIME 500MG (TAB)
01/21/2024
01/28/2024
PO
1 Tab
BID
CAP-MR
Waiting Final Action 
01/21/2024
CEFUROXIME 1.5GM (VIAL)
01/21/2024
01/24/2024
IV
1.5 Grams
Q8hrs
CAP-MR
Waiting Final Action 
01/21/2024
AZITHROMYCIN 500MG TABLET (TAB)
01/21/2024
01/24/2024
PO
500mg
OD
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: