Hepos, Arnold A.

HRN: 27-08-41  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/05/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/05/2025
05/19/2025
PO
500mg
2 Caps BID
H Pylori Infection
Waiting Final Action 
05/05/2025
CLARITHROMYCIN 500MG (CAP)
05/05/2025
05/19/2025
PO
500mg
BID
H Pylori Infection
Waiting Final Action 
05/07/2025
METRONIDAZOLE 500MG (TAB)
05/07/2025
05/14/2025
PO
500 Mg
Q8h
H Pylori Infection
Waiting Final Action 
05/07/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
05/07/2025
05/14/2025
IV
500mg
Q8
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: