Fernandez, Rico R.

HRN: 27-76-27  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/09/2025
CLARITHROMYCIN 500MG (CAP)
09/09/2025
09/16/2025
ORAL
1 Tablet
BID
H. Pylori Infection
Checking Initial Appropriateness 
09/09/2025
AMOXICILLIN 500MG CAPSULE (CAP)
09/09/2025
09/16/2025
ORAL
1 Tablet
TID
H. Pylori Infection
Checking Initial Appropriateness 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: