Tapsawani, Hasin I.

HRN: 22-58-36  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2023
AZITHROMYCIN 500MG TABLET (TAB)
02/09/2023
02/13/2023
PO
500 Mg
OD
CAP-LR
Waiting Final Action 
02/09/2023
CEFTRIAXONE 1G (VIAL)
02/09/2023
02/15/2023
IV
2g
OD
Intraabdominal Infection
Waiting Final Action 
02/10/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
02/10/2023
02/17/2023
IV
500mg
QID
Amoebiasis
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: