Jaira, Sahaya K.

HRN: 17-47-45  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/15/2025
AMOXICILLIN 500MG CAPSULE (CAP)
05/15/2025
05/29/2025
PO
2 Tabs
BID
H Pylori Infection
Waiting Final Action 
05/15/2025
CLARITHROMYCIN 500MG (CAP)
05/15/2025
05/29/2025
PO
500mg
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:



 If inappropriate:

              

Overall appropriateness: