Olanda, Muhajeren P.

HRN: 22-45-90  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/07/2023
CEFTRIAXONE 1G (VIAL)
01/07/2023
01/13/2023
IV
2gm
Q24
CAP MR
Waiting Final Action 
01/07/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
01/07/2023
01/13/2023
IV
4.5gm
Q6
Cap HR
Waiting Final Action 
01/10/2023
AZITHROMYCIN 500MG TABLET (TAB)
01/10/2023
01/14/2023
ORAL
500mg
OD
CAP MR
Waiting Final Action 

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: