Basco, Ricky .

HRN: 26-99-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/01/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/01/2025
05/15/2025
PO
1 Gram
Q12 Hrs
PUD
Waiting Final Action 
05/01/2025
CLARITHROMYCIN 500MG (CAP)
05/01/2025
05/15/2025
PO
500 Mg
Q12 Hrs
PUD
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: