Alumbro, Rufino, JR.. J.

HRN: 23-23-76  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/27/2023
CEFTRIAXONE 1G (VIAL)
06/27/2023
07/04/2023
IV
2g
Q24H
CAP MR
Waiting Final Action 
06/27/2023
AZITHROMYCIN 500MG TABLET (TAB)
06/27/2023
07/01/2023
ORAL
500mg/tab
OD
CAP MR
Waiting Final Action 
07/01/2023
AMOXICILLIN 500MG CAPSULE (CAP)
07/01/2023
07/15/2023
PO
1gm
BID
H.Pylori Positive
Waiting Final Action 
07/01/2023
CLARITHROMYCIN 500MG (CAP)
07/01/2023
07/15/2023
PO
500mg
BID
H.Pylori Positive
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: