Papic, Elvin ..

HRN: 29-29-92  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/15/2026
CEFTRIAXONE 1G (VIAL)
07/15/2026
07/22/2026
IV
1g
Q12
Acute Appendicitis
Checking Final Appropriateness 
07/15/2026
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
07/15/2026
07/22/2026
IV
500mg
Every 8hours
Acute Appendicitis
Checking Final 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: