Songhid, Domingo C.

HRN: 20-69-85  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/31/2022
AMOXICILLIN 500MG CAPSULE (CAP)
10/31/2022
11/13/2022
ORAL
500 Mg
BID
H. Pylori Infection
Waiting Final Action 
10/31/2022
CLARITHROMYCIN 500MG (CAP)
10/31/2022
11/13/2022
ORAL
500 Mg
BID
H. Pylori Infection
Waiting Final Action 
11/04/2022
CEFTRIAXONE 1G (VIAL)
11/04/2022
11/10/2022
IV
2g
OD
CAP MR Vs HAP
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: