Birin, Aliya .

HRN: 20-55-27  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/11/2022
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
09/11/2022
09/17/2022
PO
2ml
Tid
H. PYLORI INFECTION
Waiting Final Action 
09/11/2022
METRONIDAZOLE 125MG/5ML, 60ML (BOT)
09/11/2022
09/24/2022
PO
3ml
Tid
H. PYLORI INFECTION
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: