Alta, Agustina M.

HRN: 10-11-88  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/23/2024
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
07/23/2024
07/30/2024
IVTT
4.5g LD Then 2.25g
Q8H
Complicated UTI
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: