Cais, Bienvinido E.

HRN: 22-86-86  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2023
PIPERACILLIN + TAZOBACTAM 4.5G (VLS)
04/15/2023
04/22/2023
IV
4.5g
Q8
CAP-HR
Waiting Final Action 
04/15/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/15/2023
04/17/2023
PO
500mg
OD
CAP-HR
Waiting Final Action 
04/25/2023
AZITHROMYCIN 500MG TABLET (TAB)
04/25/2023
04/30/2023
ORAL
500mg
OD
CAP-MR
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: