Samson, Francisco B.

HRN: 01-17-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/12/2023
AMOXICILLIN 500MG CAPSULE (CAP)
12/12/2023
12/26/2023
PO
1 Gram
BID
H. Pylori Infection
Checking Final Appropriateness 
12/12/2023
CLARITHROMYCIN 500MG (CAP)
12/12/2023
12/26/2023
PO
500 Mg
BID
H. 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: