Ansag, Robinson S.

HRN: 21-59-86  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/20/2022
CEFTRIAXONE 1G (VIAL)
07/20/2022
07/26/2022
IV
2g
OD
UTI
Waiting Final Action 
07/21/2022
CIPROFLOXACIN 500MG (TAB)
07/21/2022
07/27/2022
ORAL
500mg/tab
BID
Pyelonephritis
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: