Quibual, Rohaan M.

HRN: 26-54-97  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/29/2025
PIPERACILLIN + TAZOBACTAM 2.25G (VIAL)
01/29/2025
02/05/2025
IV
450mg
Q 6 Hours
PCAP-C
Rejected 
02/05/2025
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
02/05/2025
02/11/2025
PO
1.8ml
BID
PCAP C
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: