Aparecio, Maridel .

HRN: 01-84-06  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
07/21/2026
CEFTRIAXONE 1G (VIAL)
07/21/2026
07/27/2026
IV
2g
Od
UTI
Remove - Pending Acceptance
07/22/2026
CLARITHROMYCIN 500MG (CAP)
07/22/2026
07/29/2026
ORAL
500MG
BID
H. PYLORI INFECTION
Remove - Pending Acceptance
07/22/2026
AMOXICILLIN 500MG CAPSULE (CAP)
07/22/2026
07/29/2026
ORAL
1000 MG (2 CAPS)
TID
H. PYLORI INFECTION
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: