Israel, Carmen S.

HRN: 23-42-67  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/03/2023
CEFUROXIME 500MG (TAB)
08/03/2023
08/09/2023
ORAL
500 Mg/tab, 1 Tab
Bid
Urinary Tract Infection
Waiting Final Action 
08/03/2023
AMOXICILLIN 500MG CAPSULE (CAP)
08/03/2023
08/09/2023
2 CAPS PO
500mg
BID
H. Pylori Infection
Checking Final Appropriateness 
08/03/2023
CLARITHROMYCIN 500MG (CAP)
08/03/2023
08/09/2023
PO
500mg
Bid
H. Pylori Infection
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: