Mohali, Morsedi L.

HRN: 29-23-40  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/05/2026
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
07/05/2026
07/12/2026
IV
4.5g
Q8h
HAP VS VAP
Checking Initial Appropriateness 
07/05/2026
AZITHROMYCIN 500MG TABLET (TAB)
07/05/2026
07/10/2026
PO
500mg
OD
HAP VS VAP
Checking Initial Appropriateness 
07/06/2026
LEVOFLOXACIN 5MG/ML, 100ML (VIAL)
07/06/2026
07/12/2026
IV
500mg
OD
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: