Bendanillo, Janeth S.

HRN: 23-70-29  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/09/2023
09/19/2023
PO
500 Mg/cap,2 Caps
Bid
H. Pylori Infection; CAP LR
Waiting Final Action 
09/09/2023
CLARITHROMYCIN 500MG (CAP)
09/09/2023
09/19/2023
PO
500 Mg/tab, 1 Tab
Bid
H. Pylori Infection; CAP LR
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: