Benolirao, Benjamin, II. E.

HRN: 22-11-67  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
10/27/2022
10/31/2022
PER OREM
500mg
OD
Pulmonary Infection/ Infiltrates
Waiting Final Action 
10/27/2022
CEFTRIAXONE 1G (VIAL)
10/27/2022
11/02/2022
IVTT
2g
Q24
Pulmonary Infection/ Infiltrates
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: