Dingal, Pedro .

HRN: 02-99-05  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2024
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/08/2024
09/22/2024
IV
500mg
Q8
H. Pylori Infection
Waiting Final Action 
09/08/2024
CLARITHROMYCIN 500MG (CAP)
09/08/2024
09/22/2024
PO
500mg
BID
H. Pylori Infection
Waiting Final Action 
09/09/2024
METRONIDAZOLE 500MG (TAB)
09/09/2024
09/18/2024
PO
500 Mg/tab, 1 Tab
TID
H. Pylori Infection;
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: