Pigao, Emma T.

HRN: 07-48-18  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/31/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/31/2022
06/06/2022
ORAL
500 Mg
Q12H
H. Pylori Infection
05/31/2022
CLARITHROMYCIN 500MG (CAP)
05/31/2022
06/06/2022
ORAL
500 Mg
Q12H
H. Pylori Infection
Waiting Final Action 
05/31/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/31/2022
06/06/2022
ORAL
1g
Q12H
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: