Esios, Shaila Faith .

HRN: 10-33-37  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/09/2024
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
06/09/2024
06/16/2024
PO
6mL
TID
H Pylori Infection
Waiting Final Action 
06/09/2024
CLARITHROMYCIN 250 MG/5ML
06/09/2024
06/16/2024
PO
3.5mL
BID
H Pylori
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: