Paalisbo, Roger N.

HRN: 23-46-07  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/31/2023
AMOXICILLIN 500MG CAPSULE (CAP)
07/31/2023
08/21/2023
PO
1gm
BID
Helicobacter Pylori Infection
Waiting Final Action 
07/31/2023
CLARITHROMYCIN 500MG (CAP)
07/31/2023
08/21/2023
PO
500mg
BID
Helicobacter Pylori Infection
Waiting Final Action 
08/04/2023
METRONIDAZOLE 500MG (TAB)
08/04/2023
08/11/2023
PO
500mg
TID
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: