Bala, Purificacion .

HRN: 23-27-59  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/10/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
06/10/2025
06/16/2025
IV
500mg
Q8
Acute Appendicitis
Checking Initial Appropriateness 
06/10/2025
CEFTRIAXONE 1G (VIAL)
06/10/2025
06/16/2025
IV
2g
OD
Acute Apoendicitis
Checking Initial 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: