Abubakar, Uting .

HRN: 27-76-52  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2025
CEFTAZIDIME 1GM (VIAL)
09/08/2025
09/14/2025
IV
1gm
Q8
CAP MR
Checking Initial Appropriateness 
09/08/2025
AZITHROMYCIN 500MG TABLET (TAB)
09/08/2025
09/12/2025
ORAL
500mg
OD
CAP MR
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: