Cabatana, Josejem .

HRN: 26-63-17  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/01/2025
CEFTAZIDIME 1GM (VIAL)
02/01/2025
02/08/2025
IV
1G
Q8H
Pneumonia
Checking Final Appropriateness 
02/01/2025
LEVOFLOXACIN 500MG (TAB)
02/01/2025
02/08/2025
PO
500
OD
PNEUMONIA
Checking Final Appropriateness 

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: