Litab, Ricardo T.

HRN: 03-38-14  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/28/2023
AMOXICILLIN 500MG CAPSULE (CAP)
04/28/2023
05/05/2023
PO
2 Capsules
Q12h
H. Pylori Infection
Waiting Final Action 
04/28/2023
METRONIDAZOLE 500MG (TAB)
04/28/2023
05/05/2023
PO
1 Tablet
Q8H
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: