Albia, Warlito B.

HRN: 28-65-32  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/07/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/07/2026
03/14/2026
PO
1G
BID
HELICOBACTER PYLORI INFECTION
Remove - Pending Acceptance
03/07/2026
CLARITHROMYCIN 500MG (CAP)
03/07/2026
03/14/2026
PO
500MG
BID
HELICOBACTER PYLORI INFECTION
Remove - Pending Acceptance
03/07/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/07/2026
03/13/2026
ORAL
1g
TID
H.pylori
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: