Amad, Edilberto E.

HRN: 28-68-66  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/14/2026
CEFTRIAXONE 1G (VIAL)
03/14/2026
03/21/2026
IV
2g
OD
Uti
Checking Initial Appropriateness 
03/15/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
03/15/2026
03/21/2026
IV
4.5g
Q8
Pneumonia
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: