Menoria, Marcela T.

HRN: 10-63-08  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/11/2022
CLARITHROMYCIN 500MG (CAP)
04/11/2022
04/24/2022
PO
1 Tab
2 X A Day
H Pylori Infection
Waiting Final Action 
04/11/2022
METRONIDAZOLE 500MG (TAB)
04/11/2022
04/24/2022
PO
1 Tab
2 X A Day
H Pylori Infection
Waiting Final Action 
05/24/2023
CLARITHROMYCIN 500MG (CAP)
05/24/2023
06/06/2023
ORAL
500mg/tab
BID
H Pylori Infection
Waiting Final Action 
05/24/2023
METRONIDAZOLE 500MG (TAB)
05/24/2023
06/06/2023
ORAL
500mg/cap
BID
H. Pylori
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: