Delos Reyes, Alejandro H.

HRN: 24-18-02  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/03/2023
AMOXICILLIN 500MG CAPSULE (CAP)
12/03/2023
12/17/2023
PO
500mg
2 Caps BID
H Pylori Infection
Waiting Final Action 
12/03/2023
CLARITHROMYCIN 500MG (CAP)
12/03/2023
12/17/2023
PO
500mg
1 Cap BID
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: