Paredes, Marigene N.

HRN: 00-20-04  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/25/2023
AMOXICILLIN 500MG CAPSULE (CAP)
08/25/2023
09/03/2023
PO
1g
Q12
H. Pylori Infection
Checking Final Appropriateness 
08/25/2023
CLARITHROMYCIN 500MG (CAP)
08/25/2023
09/02/2023
PO
500mg
Q12
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: