Fuertes, Thelma C.

HRN: 22-58-63  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
02/12/2023
AMOXICILLIN 500MG CAPSULE (CAP)
02/12/2023
02/25/2023
PO
500mg Cap
2 Caps Bid
H. Pylori Infection
Waiting Final Action 
02/12/2023
CLARITHROMYCIN 500MG (CAP)
02/12/2023
02/25/2023
PO
500mg Cap
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: