Crampatanta, Irish Joy -.

HRN: 23-78-96  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/29/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/29/2023
10/06/2023
PO
1g
BID X 14 Days
H Pylori
Waiting Final Action 
09/29/2023
AMOXICILLIN 500MG CAPSULE (CAP)
09/29/2023
10/13/2023
PO
500mg
TID
H Pylori
Waiting Final Action 
09/29/2023
CLARITHROMYCIN 500MG (CAP)
09/29/2023
10/13/2023
PO
500mg
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: