Corpin, Ruel M.

HRN: 04-10-79  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/08/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/08/2022
05/21/2022
PO
500 Mg
BID
H. Pylori Infection
05/08/2022
CLARITHROMYCIN 500MG (CAP)
05/08/2022
05/21/2022
PO
500 Mg
BID
H. Pylori Infection
Waiting Final Action 
05/10/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/10/2022
05/22/2022
PO
1g
BID
H. Pylori Infection
Waiting Final Action 
05/10/2022
CLARITHROMYCIN 500MG (CAP)
05/10/2022
05/22/2022
PO
500mg
BID
H. Pylori Infection
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: