Asiman, Ana Marie E.

HRN: 21-84-43  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/27/2022
AZITHROMYCIN 500MG TABLET (TAB)
08/27/2022
09/02/2022
PO
500mg
OD
CAP LR
Waiting Final Action 
09/01/2022
METRONIDAZOLE 500MG (TAB)
09/01/2022
09/15/2022
PO
500mg
BID
H. Pylori Infection
Waiting Final Action 
09/01/2022
AMOXICILLIN 500MG CAPSULE (CAP)
09/01/2022
09/15/2022
PO
500
BID
H Pylori Infection
Waiting Final Action 

AMS Audit Form


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 Indication:

              

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 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: