Tapdasan, Evenizer P.

HRN: 22-77-31  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/28/2023
AMOXICILLIN 500MG CAPSULE (CAP)
03/28/2023
04/03/2023
PO
500mg/cap
TID
BPUD Sec To H. Pylori Infection
Waiting Final Action 
03/28/2023
CLARITHROMYCIN 500MG (CAP)
03/28/2023
04/03/2023
PO
500mg
BId
BPUD Sec To 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: