Hasandalan, Eddie L.

HRN: 28-60-02  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/17/2026
CEFTRIAXONE 1G (VIAL)
02/17/2026
03/03/2026
IV
2G
OD
PNEUMOPERITONEUM
Checking Initial Appropriateness 
02/17/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/17/2026
03/03/2026
IV
500MG
Q8
PNEUMOPERITONEUM
Checking Initial Appropriateness 
03/03/2026
CLARITHROMYCIN 500MG (CAP)
03/03/2026
03/10/2026
ORAL
500mg
Q12
Peptic Ulcer Disease
Checking Initial Appropriateness 
03/03/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/03/2026
03/10/2026
ORAL
1gram
Q12
Peptic Ulcer Disease
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: