Abdullah, Nasrodin A.

HRN: 26-64-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/09/2025
AMOXICILLIN 500MG CAPSULE (CAP)
02/09/2025
02/23/2025
PO
1gm
Bid
H Pylori
Waiting Final Action 
02/09/2025
CLARITHROMYCIN 500MG (CAP)
02/09/2025
02/24/2025
PO
500mg
Bid
H Pyolri
Waiting Final Action 
02/16/2025
AMOXICILLIN 500MG CAPSULE (CAP)
02/16/2025
02/22/2025
PO
500mg 2tabs
BID
H Pylori Infection
Waiting Final Action 
02/16/2025
CLARITHROMYCIN 500MG (CAP)
02/16/2025
02/22/2025
PO
500mg
BID
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: