Hamili, Rodelo A.

HRN: 27-74-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/08/2025
CLARITHROMYCIN 500MG (CAP)
09/08/2025
09/22/2025
PO
500
Bid
H Pylori Infection
Remove - Pending Acceptance
09/08/2025
AMOXICILLIN 500MG CAPSULE (CAP)
09/08/2025
09/22/2025
PO
1g
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: