Omar, Sabturia A.

HRN: 26-33-94  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/07/2024
CEFTRIAXONE 1G (VIAL)
12/07/2024
12/14/2024
IVT
2g
OD
LGIB Prob Sec To BPUD
Waiting Final Action 
12/09/2024
CLARITHROMYCIN 500MG (CAP)
12/09/2024
12/22/2024
ORAL
500mg
BID
H Pylori Infection
Waiting Final Action 
12/09/2024
AMOXICILLIN 500MG CAPSULE (CAP)
12/09/2024
12/22/2024
ORAL
1000mg
BID
H Pylori Infection
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: