Samla, Sumaon P.

HRN: 24-24-82  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/21/2023
AMOXICILLIN 500MG CAPSULE (CAP)
12/21/2023
01/03/2024
PO
1000mg
BID
H.pylori Positive
Waiting Final Action 
12/21/2023
CLARITHROMYCIN 500MG (CAP)
12/21/2023
01/03/2024
PO
500MG
BID
H.pylori Positive
Waiting Final Action 
12/22/2023
CLARITHROMYCIN 500MG (CAP)
12/22/2023
01/04/2024
PO
500MG
OD
H.pylori Positive
Waiting Final Action 
12/22/2023
AMOXICILLIN 500MG CAPSULE (CAP)
12/22/2023
01/04/2024
PO
500MG
BID
H.pylori Positive
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: