Tapok, Roberto B.

HRN: 28-24-50  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
12/09/2025
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
12/09/2025
12/15/2025
IV
500
Q8
PUD H PYLORI
Checking Final Appropriateness 
12/10/2025
ALBENDAZOLE 400MG (TAB)
12/10/2025
12/12/2025
PO
500mg
ODHS
Parasitic Infection
Checking Final 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: