Calimpong, Elenita G.

HRN: 24-03-28  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/03/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/03/2023
11/18/2023
PO
1gm
BID
HPylori Infection
Checking Final Appropriateness 
11/03/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/03/2023
11/17/2023
IV
500mg
BID
H Pylori Infection
Checking Final Appropriateness 
11/07/2023
METRONIDAZOLE 500MG (TAB)
11/07/2023
11/14/2023
PO
500mg
BID
H Pylori
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: