Dictahan, Anastacia C.

HRN: 03-77-54  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/03/2025
CIPROFLOXACIN 500MG (TAB)
05/03/2025
05/10/2025
PO
500 Mg/tab
BID
Complicated UTI
Waiting Final Action 
05/04/2025
CIPROFLOXACIN 500MG (TAB)
05/04/2025
05/11/2025
PO
500 Mg
Q12 Hrs
UTI
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: