Elorza, Mark Christian B.

HRN: 11-95-68  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/28/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/28/2025
05/05/2025
IV
240mg
Q8H
H. Pylori Infection
Waiting Final Action 
04/28/2025
CLARITHROMYCIN 250 MG/5ML
04/28/2025
05/05/2025
PO
3ml
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: