Calunsag, Sofia .

HRN: 26-11-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/22/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/22/2024
11/01/2024
IV
200mg
Q8h
Amoebiasis
Waiting Final Action 
10/22/2024
CEFUROXIME 750MG (VIAL)
10/22/2024
10/29/2024
IV
500mg
Q8h
UTI
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: