Bok, Clarita B.

HRN: 08-23-15  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/10/2025
CEFUROXIME 500MG (TAB)
08/10/2025
08/16/2025
PO
500
BID
CAP MR
Remove - Pending Acceptance
08/10/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/10/2025
08/12/2025
PO
500
BID
Pneumonia
Remove - Pending Acceptance
08/10/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/10/2025
08/12/2025
PO
500 Mg Tab
OD
Pneumonia
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: