Jumdani, Amil T.

HRN: 29-27-41  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/06/2026
CEFTRIAXONE 1G (VIAL)
07/06/2026
07/12/2026
IV
2G
OD
H. Pylori Infection
Checking Initial Appropriateness 
07/06/2026
AMOXICILLIN 500MG CAPSULE (CAP)
07/06/2026
07/19/2026
PO
1g
BID
H. Pylori Infection
Checking Initial Appropriateness 
07/06/2026
CLARITHROMYCIN 500MG (CAP)
07/06/2026
07/19/2026
PO
500 MG
BID
H. Pylori Infection
Checking Initial Appropriateness 
07/08/2026
METRONIDAZOLE 500MG (TAB)
07/08/2026
07/15/2026
PO
500mg
Tid
Infectious Diarrhea
Checking Initial Appropriateness 

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: