Bancairin, Joel G.

HRN: 22-45-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
01/06/2023
CLARITHROMYCIN 500MG (CAP)
01/06/2023
01/13/2023
PO
500mg
BID
H Pylori Infection
Waiting Final Action 
01/06/2023
METRONIDAZOLE 500MG (TAB)
01/06/2023
01/15/2023
PO
500mg
BID
H Pylori Infection
Waiting Final Action 

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: