Sebusa, Anecia .

HRN: 22-57-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/04/2023
CEFTRIAXONE 1G (VIAL)
02/04/2023
02/10/2023
IV INFUSION
2g
OD
UTI
Waiting Final Action 
02/06/2023
METRONIDAZOLE 500MG (TAB)
02/06/2023
02/15/2023
PO
500 Mg
Bid
H. Pylori Infection
Waiting Final Action 
02/06/2023
CLARITHROMYCIN 500MG (CAP)
02/06/2023
02/15/2023
PO
500 Mg
Bid
H. Pylori Infection
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: