Ismael, Mahamod C.

HRN: 08-36-03  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/07/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
05/07/2026
05/13/2026
IV
4.5g
Q6h
HOSPITAL ACQUIRED PNEUMONIA
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: