Haman, Gadjali .

HRN: 20-51-84  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/07/2025
CEFUROXIME 500MG (TAB)
05/07/2025
05/14/2025
PO
500 Mg
Q8h
UTI
Waiting Final Action 
05/11/2025
CLARITHROMYCIN 500MG (CAP)
05/11/2025
05/18/2025
PO
1 Cap
BID
H.pylori Infection
Waiting Final Action 
05/11/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/11/2025
05/18/2025
PO
2 Caps
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: