Sulani, Habiba T.

HRN: 23-30-00  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/09/2023
AMOXICILLIN 500MG CAPSULE (CAP)
07/09/2023
07/22/2023
ORAL
1g
BID
H Pylori Infection
Waiting Final Action 
07/09/2023
CLARITHROMYCIN 500MG (CAP)
07/09/2023
07/22/2023
ORAL
500mg
BID
H Pylori Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: