Beldia, Jessica O.

HRN: 21-33-41  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
05/19/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/19/2022
06/02/2022
ORAL
500 Mg
BID
H. Pylori Infection
Waiting Final Action 
05/19/2022
AMOXICILLIN 500MG CAPSULE (CAP)
05/19/2022
06/02/2022
ORAL
1000 Mg
BID
H. Pylori Infection
Waiting Final Action 
05/19/2022
CLARITHROMYCIN 500MG (CAP)
05/19/2022
06/02/2022
ORAL
500 Mg
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: