Quiriquiol, Gregorio A.

HRN: 24-02-04  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/04/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/04/2023
11/18/2023
PO
500mg
BID
H Pylori
Rejected 
11/04/2023
CLARITHROMYCIN 500MG (CAP)
11/04/2023
11/18/2023
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: