Tiqui, Maria Akhiera Zhy S.

HRN: 22-39-41  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/18/2023
AMPICILLIN 1GM (VIAL)
01/18/2023
01/24/2023
IV
150mg
Q12
MAS
Waiting Final Action 
01/18/2023
GENTAMICIN 40MG/ML, 2ML (AMP)
01/18/2023
01/24/2023
IV
15mg
OD
MAS
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



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Final appropriateness:



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Overall appropriateness: