Siba, Omar A.

HRN: 28-51-30  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/09/2026
METRONIDAZOLE 500MG (TAB)
08/09/2026
08/18/2026
PO
500mg
BID
H. Pylori Infection
Remove - Pending Acceptance
08/09/2026
CLARITHROMYCIN 500MG (CAP)
08/09/2026
08/18/2026
PO
500mg
BID
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: