Rodriguez, Pablito R.

HRN: 26-87-57  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/04/2025
METRONIDAZOLE 500MG (TAB)
04/04/2025
04/17/2025
PO
500mgtab
Q8
H. Pylori Infection
Waiting Final Action 
04/04/2025
CLARITHROMYCIN 500MG (CAP)
04/04/2025
04/17/2025
PO
500mgtab
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: