Ariza, Celedenio P.

HRN: 24-46-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/08/2024
CEFTRIAXONE 1G (VIAL)
03/08/2024
03/14/2024
IVTT
2g
OD
Cap-MR
Checking Final Appropriateness 
03/08/2024
AZITHROMYCIN 500MG TABLET (TAB)
03/08/2024
03/12/2024
PO
500 Mg
OD
Cap-MR
Checking Final Appropriateness 
03/10/2024
CO-AMOXICLAV 625MG (TAB)
03/10/2024
03/17/2024
ORAL
625mg
TID
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: