Elago, Concepcion .

HRN: 04-65-19  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/19/2023
AMOXICILLIN 500MG CAPSULE (CAP)
12/19/2023
01/02/2024
PO
2 Tabs
BID
H. Pylori
Waiting Final Action 
12/19/2023
CLARITHROMYCIN 500MG (CAP)
12/19/2023
01/02/2024
PO
1 Tab
BID
H. Pylori
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: