Sulano, Isabelita C.

HRN: 02-22-48  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/12/2025
CEFTRIAXONE 1G (VIAL)
05/12/2025
05/18/2025
IV
2g
OD
Complicated UTI
Waiting Final Action 
05/12/2025
METRONIDAZOLE 500MG (TAB)
05/12/2025
05/25/2025
ORAL
500mg
BID
H. Pylori Infection
Waiting Final Action 
05/12/2025
CLARITHROMYCIN 500MG (CAP)
05/12/2025
05/25/2025
ORAL
500mg
BID
H. Pylori Infection
Waiting Final Action 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: