Baong, Elena B.

HRN: 27-58-91  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2025
AZITHROMYCIN 500MG TABLET (TAB)
08/09/2025
08/12/2025
PO
500mg
OD
CAP
Remove - Pending Acceptance
08/10/2025
AMOXICILLIN 500MG CAPSULE (CAP)
08/10/2025
08/24/2025
PO
500mg 2 Tabs
BID
H. Pylori Infection
Remove - Pending Acceptance
08/10/2025
CLARITHROMYCIN 500MG (CAP)
08/10/2025
08/24/2025
PO
500mg 1 Tab
BID
H. Pylori Infection
Remove - Pending Acceptance

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: