Berallo, Antonio, .

HRN: 04-06-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/12/2025
CEFTRIAXONE 1G (VIAL)
03/12/2025
03/19/2025
IV
2g
OD
Pneumonia
Waiting Final Action 
03/18/2025
LEVOFLOXACIN 500MG (TAB)
03/18/2025
03/25/2025
PO
500
OD
CAP
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: