Mangilin, Loreno B.

HRN: 08-13-44  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/05/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/05/2023
11/12/2023
PO
1gm
TID
H Pylori Infection
Waiting Final Action 
11/05/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/05/2023
11/12/2023
IV
500mg
BID
H Pylori Infection
Waiting Final Action 
11/07/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/07/2023
11/12/2023
PO
2tabs
BID
BID
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: