Peroy, Constancio .

HRN: 01-62-59  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/28/2023
AMOXICILLIN 500MG CAPSULE (CAP)
10/28/2023
11/10/2023
PO
2 Tablets
Q12
Helicobacter Pylori Infection
Checking Final Appropriateness 
10/28/2023
CLARITHROMYCIN 500MG (CAP)
10/28/2023
11/10/2023
PO
1 Tablet
Q12
Helicobacter Pylori Infection
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: