Suero, Rosita T.

HRN: 00 41 21  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/01/2023
CIPROFLOXACIN 500MG (TAB)
06/01/2023
06/07/2023
PO
500mg
BID
Complicated UTI
Waiting Final Action 
06/03/2023
CLARITHROMYCIN 500MG (CAP)
06/03/2023
06/17/2023
ORAL
500mg
BID
H. Pylori Infection
Waiting Final Action 
06/03/2023
METRONIDAZOLE 500MG (TAB)
06/03/2023
06/17/2023
ORAL
500mg
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: