Jutba, Clarita .

HRN: 05-36-47  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/13/2024
METRONIDAZOLE 500MG (TAB)
07/13/2024
07/19/2024
PO
500mg
Tid
H Pylori Infection
Waiting Final Action 
07/14/2024
CO-AMOXICLAV 625MG (TAB)
07/14/2024
07/20/2024
PO
625 Mg Tab, 1 Tab
Bid
Uti
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: