Pateño, Aicah .

HRN: 01-76-10  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/01/2023
AZITHROMYCIN 500MG TABLET (TAB)
09/01/2023
09/06/2023
PO
1 Tab
OD
CAP-LR
Waiting Final Action 
09/02/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/02/2023
09/15/2023
PO
1gm
BID
H. Pylori Infection
Waiting Final Action 
09/02/2023
CLARITHROMYCIN 500MG (CAP)
09/02/2023
09/15/2023
PO
500 Mg
BID
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: