Gapor, Peter .

HRN: 02-14-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/25/2024
CEFTRIAXONE 1G (VIAL)
03/25/2024
03/31/2024
IV
2gm
OD
Pneumonia
Waiting Final Action 
03/25/2024
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/25/2024
04/01/2024
IV
4.5
Q8
CAP HR
Waiting Final Action 
03/25/2024
LEVOFLOXACIN 500MG (TAB)
03/25/2024
04/01/2024
PO
750
OF
CAP HR
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: