Elem, Rosalito D.

HRN: 24-48-38  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/06/2024
CEFTAZIDIME 1GM (VIAL)
02/06/2024
02/13/2024
IV
1g
Q8
Pleural Effusion Right Prob Sec To Presumptive PTB, CAP MR
Waiting Final Action 
02/10/2024
AZITHROMYCIN 500MG TABLET (TAB)
02/10/2024
02/16/2024
ORAL
500 Mg
OD
CAP MR
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: