Francisco, Hesus C.

HRN: 26-95-64  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/15/2025
CEFTRIAXONE 1G (VIAL)
04/15/2025
04/21/2025
IVTT
2g
OD
Cap-MR
Waiting Final Action 
04/15/2025
AZITHROMYCIN 500MG TABLET (TAB)
04/15/2025
04/17/2025
PO
500 Mg/tab, 1 Tab
Od
Cap-MR
Waiting Final Action 
04/17/2025
AMOXICILLIN 500MG CAPSULE (CAP)
04/17/2025
05/01/2025
ORAL
1g
BID
Hnpylori Infection
Waiting Final Action 
04/17/2025
CLARITHROMYCIN 500MG (CAP)
04/17/2025
05/01/2025
ORAL
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: