Salasa, Jacob G.

HRN: 21-23-93  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2022
CLARITHROMYCIN 500MG (CAP)
04/15/2022
04/28/2022
PER OREM
1 Tab
2x A Day
H Pylori Infection
Waiting Final Action 
04/28/2022
AMOXICILLIN 500MG CAPSULE (CAP)
04/15/2022
04/28/2022
PER OREM
2 Tabs
2 X A Day
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: