Yeo, Manilyn .

HRN: 08-18-23  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/27/2023
AMOXICILLIN 500MG CAPSULE (CAP)
08/27/2023
09/10/2023
PO
2 Caps
BID
H. Pylori
Waiting Final Action 
08/27/2023
CLARITHROMYCIN 500MG (CAP)
08/27/2023
09/10/2023
PO
1 Tab
BID
H. Pylori
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: