Anday, Abid I.

HRN: 11 89 91  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/17/2022
MEBENDAZOLE 500MG (TAB)
07/17/2022
07/18/2022
PO
500mg
Now
Stool Exam
Waiting Final Action 
07/17/2022
MEBENDAZOLE 50MG/ML, 60ML SUSPENSION (BOT)
07/17/2022
07/17/2022
PO
500mg
Now
Stool Exam
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: