Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences
type: channel
description: The Institutional Repository of 21 September University for Medical and Applied Sciences is a centralized, open-access digital platform dedicated to collecting, preserving, indexing, and disseminating the complete scientific and intellectual output of the university's faculty and students across all colleges. It aims to enhance the global visibility and impact of Yemeni medical and applied research.
publisher: 21 September University for Medical and Applied Sciences, Sana’a, Yemen.
language: en
publication name: Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences
items: Role of The Operating Room Technician in Implementing Surgical Counting and Its Impact on Patient Safety in Public Hospitals – Sana'a
items: https://ojs.21umas.edu.ye/irss/en/article/view/49
items: A study of medication use within insured patients with chronic diseases
items: The reality of the Yemeni health sector and the role of September 21 University for Medical and Applied Sciences in reforming it and building the modern Yemeni state
items: The Relationship Between Human Resources Development and the Efficacy of Applying Accreditation Standards in Private and Public Yemeni Hospitals in the Capital City, Sana'a
items: The Effect of Health Human Resources Development on the Efficacy of Applying Accreditation Standards in Yemeni Hospitals: A Field Study
items: The Role of Quality Systems in Improving the Performance of Healthcare Facilities in Yemen: A Case Study of the 48 Model Hospital"
items: Clinically Significant Statin-Drug Interactions in Older Patients with Chronic Diseases
items: The Role of Governance in Improving the Quality of Healthcare Services in Yemeni Hospitals: (A Case Study of the Republican Teaching Hospital Authority)

Role of The Operating Room Technician in Implementing Surgical Counting and Its Impact on Patient Safety in Public Hospitals – Sana'a
type: item
description: Background: Surgical counting is a core perioperative safety practice to prevent retained surgical items (RSIs). In resource-limited public hospitals in Sana’a, Yemen, the consistency of this practice among operating room technicians remains insufficiently studied. Objective: To assess the role of operating room technicians in implementing surgical counting and determine its impact on patient safety in public hospitals in Sana’a City, Yemen. Methods: An analytical cross-sectional study was conducted in five public hospitals. Using convenience sampling, 201 eligible operating room technicians completed a structured self-administered questionnaire covering demographics/work profile, surgical counting practices, and patient safety. Descriptive and inferential statistics, including Pearson correlation, were applied. Results: The findings revealed a significant implementation gap, with 50.2% of technologists reporting low levels of protocol adherence. Critical weaknesses were identified in procedural documentation (45.8% disagreement) and "speaking up" during count discrepancies (48.8% disagreement). Over half of the participants (52.7%) had received no formal training in surgical counting. A very strong positive correlation was found between the implementation of surgical counting and patient safety (r = 0.980, p < 0.001). Higher safety compliance was significantly associated with being female, having fewer years of experience (< 6 years), and managing lower surgical volumes (< 20 cases/month). Conclusion: Surgical counting implementation in Sana’a’s public hospitals is suboptimal and highly variable. The strong correlation between counting adherence and patient safety indicates that current inconsistent practices pose a substantial risk of preventable surgical errors. Systemic barriers, including high workloads and a lack of specialized training, are the primary drivers of non-compliance. Recommendations: Public hospitals should mandate standardized counting protocols …
subject: Scientific and Community Output of the Deanship of Environment and Community Service at 21 September University for Medical and Applied Sciences
  topic: section
subject: Undergraduate Graduation Projects
  topic: category
subject: Array
  topic: keywords
creator: Sara Al-Selwi
creator: Shaima Al-Dharehi
creator: Muneer Al-Wesabi
creator: Hana Kabas
creator: Raghad Jaafar
creator: Anhar Al-Matary
creator: Dekra Duailah
creator: Shroq AL-Marwaei
creator: Emad Al-Muqatri
creator: Rofidah Amer
creator: Zakaria Al-Dubais
creator: Maryam Al-Awlaqi
creator: Badr Al. Hubaishi
rights: Copyright (c) 2026 Sara Hussein Abdo Abdulrab Al-Selwi, Shaima Qasem Mursed Al-Dharehi., prof. Muneer Musleh Al-Wesabi, Hana Yahia Qasim Saleh Kabas, Raghad Ali Yousef Jaafar, Anhar Mohammed Ahsan Hammoud Al-Matary, Dekra Ali Ebraheem Ali Duailah, Shroq Mohammed Ali AL-Marwaei, Emad Hussein Ali Saeed Al-Muqatri, Rofidah Ali Abdullah Ahmed Amer, Zakaria Mohammed Taher Al-Dubais, Maryam Saleh Mohammed Al-Awlaqi, Badr Qassim Ahmed Al. Hubaishi (Author) https://creativecommons.org/licenses/by/4.0
date: 2026-05-30
publication date: 2026-05-30
starting page: 1
ending page: 146
doi: 10.65693/irss.2026.v7i1.53

https://ojs.21umas.edu.ye/irss/en/article/view/49
type: item
title: The Reality of Training Quality and its Role in Improving the Performance of Operating Theater Technicians in Yemeni Hospitals: A Comparative Analytical Study Between the Republican Teaching Hospital Authority and Kuwait University Hospital
description: Background/Objective: This study aimed to assess the quality of training and the performance of operating theater technicians in Yemeni government hospitals . Additionally, it explored the role of training quality in enhancing the performance of these technicians, with the objective of providing strategic proposals and recommendations to optimize their operational proficiency through a concerted focus on upgrading and improving field training and continuous education programs . Methods: To achieve these objectives, a questionnaire was designed to collect primary data based on established evidence and standards relative to training quality, alongside standardized dimensions for measuring the performance of surgical technicians in hospital settings as derived from prior literature . The instrument was constructed using a five-point Likert scale . Data analysis and hypothesis testing were performed using the Statistical Package for the Social Sciences (SPSS v.21) . The study population comprised all personnel working within the surgical departments of the Republican Teaching Hospital Authority and Kuwait University Hospital, from which the study sample was drawn using a random sampling technique . Results: The study yielded several key findings, notably: There is a statistically significant relationship between the quality of training and the performance level of operating technicians in the investigated Yemeni hospitals, with a Pearson correlation coefficient of $0.600$ . The level of implementing quality standards within the training programs for operating technicians is weak . The overall performance level of operating technicians is weak . There are no statistically significant differences between the studied Yemeni hospitals regarding the quality of training . There are no statistically significant differences between the studied Yemeni hospitals regarding the performance level of operating technicians . Conclusion/Recommendations: Based on these findings, the stu…
subject: Scientific and Community Output of the Deanship of Environment and Community Service at 21 September University for Medical and Applied Sciences
  topic: section
subject: Undergraduate Graduation Projects
  topic: category
subject: Array
  topic: keywords
creator: Muneer Al-Wesabi
creator: Maher Jarallah. et al
rights: Copyright (c) 2026 د. منير مصلح محمد الوصابي، ماهر جارالله، إحسان العتمي، جفون العودي وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2024-12-30
publication date: 2024-12-30
starting page: 1
ending page: 92
doi: 10.65693/irss.2024.v5i1.49

A study of medication use within insured patients with chronic diseases
type: item
description: Who to site thise artical: Alyahawi, A., & Al-wesabi, M. (2018). A study of medication use within insured patients with chronic diseases. International Journal of Current Research, 10(08), 72273-72281. https://doi.org/10.24941/ijcr.31678.08.2018 Background: A key component in the management of a patient with chronic health problem is the assessment of its adherence with therapeutic regimen . Low levels of patient adherence with disease plans compromise the effectiveness of the therapies and have been associated with an increased risk of adver se health outcomes . Improving medication adherence with chronic diseases has been historically challengi ng due to its complex and patient-specific nature . Methods: Prospective evaluation of medications for187 insured patients with chronic diseases were included in the present study at the tim e of their visit to outpatient clinics at 48 model hosp ital (from October to December, 2017) . The Morisky Medication Adherence 4-item Scale (Morisky et al., 1986) (MMAS-4) was used to measure patien ts self-reported adherence to their medications . The instrument has been widely used and it has been de monstrated to be accurate to assess medication adherence in patients with chronic diseases . Results: Among 187 of patients, 51.9% have more than five typ es of drugs and 86.1% of them were high adherence to use the drugs . Up to half of patients (52.9%) were non-educated, 88.8% of patients take of medication accor ding to prescription, 86.1% of total patients were full compliance and 89.9% of these patients recognized their medication . Conclusion: The results of this study provided evidence about the high prevalence of a dherence to prescribed medications in insured individuals affected by chronic diseases . This suggested the positive role of insurance coverage in incre asing the compliance rate among patients with chronic diseases at health care organizations .
subject: Scientific Scholarship of Faculty and Students of the Faculty of Clinical Pharmacy at 21 September University for Medical and Applied Sciences
  topic: section
subject: Scientific Scholarship of Faculty Members
  topic: category
subject: Array
  topic: keywords
creator: Ali Alyahawi
creator: Muneer Al-Wesabi
rights: Copyright (c) 2026 د. علي اليحوي، د. منير مصلح الوصابي (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2018-08-26
publication date: 2018-08-26
starting page: 72273
ending page: 72281
doi: 10.24941/ijcr.31678.08.2018

The reality of the Yemeni health sector and the role of September 21 University for Medical and Applied Sciences in reforming it and building the modern Yemeni state
type: item
description: This research aims to identify the strategic role of the University of September 21 for medical and applied sciences in reforming the national health sector and stimulating medical tourism to contribute to reviving the national economy and participating in building the modern Yemeni state, by highlighting the reasons for the Yemeni patients' migration to search for health services outside the country, The root causes of the low quality of the national health sector services, which lead to medical errors and high costs of health services, and an indication of their impact on the national economy. The research concluded that the first building block of health sector reform requires first reform of the health education sector, and the localization of administrative jobs in health institutions and facilities By providing them with intellectually and practically qualified cadres in the management of health services and hospitals, and to reduce the occurrence of medical errors, a national health information system must be built and benefit from advances in information and communications technology to provide electronic health services and electronic health control.
subject: Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
  topic: section
subject: Scientific Scholarship of Faculty Members
  topic: category
subject: Array
  topic: keywords
creator: Muneer Al-Wesabi
creator: Mohammed Dael
rights: Copyright (c) 2020 منير مصلح محمد الوصابي (المؤلف)؛ محمد دايل (مترجم) https://creativecommons.org/licenses/by/4.0
date: 2020-12-28
publication date: 2020-12-28
starting page: 106
ending page: 133
doi: 10.65693/irss.2020.v1i1.47

The Relationship Between Human Resources Development and the Efficacy of Applying Accreditation Standards in Private and Public Yemeni Hospitals in the Capital City, Sana'a
type: item
description: Who to site thise articale: الوصابي، منير مصلح محمد، وزايد، مراد. (2017). العلاقة بين تطوير الموارد البشرية ونجاعة تطبيق معايير الاعتماد في المستشفيات اليمنية الخاصة والعامة في العاصمة صنعاء. مجلة المؤسسة، جامعة الجزائر 3، (6)، 75-94 This research examines the variation in the level and quality of healthcare services between private and public Yemeni hospitals . It aims to highlight the disparate impacts of human resource development elements on the efficacy of applying accreditation standards within these institutions . Through empirical hypothesis testing, several variations between public and private hospitals were identified . Public hospitals demonstrated lower levels of commitment toward specific elements of human resource development, precisely: employee recruitment and selection, training and development, and performance evaluation . Conversely, private hospitals exhibited a higher adherence to the elements of Total Quality Management (TQM) and the implementation of hospital accreditation standards, which directly accounts for the observed disparities in healthcare service quality across both sectors . Based on these findings, the study offers several strategic recommendations, primarily emphasizing that Yemeni public hospitals must allocate greater priority to human resource development policies (recruitment and selection, training and development, and performance evaluation) . This alignment is vital to cultivate a qualified, experienced, skilled, and knowledgeable workforce capable of efficiently meeting patient needs and delivering high-quality health services
subject: Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
  topic: section
subject: Scientific Scholarship of Faculty Members
  topic: category
subject: Array
  topic: keywords
creator: Muneer alwsaby
creator: Zaid Murad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0
date: 2017-10-28
publication date: 2017-10-28
starting page: 75
ending page: 94

The Effect of Health Human Resources Development on the Efficacy of Applying Accreditation Standards in Yemeni Hospitals: A Field Study
type: item
description: This study examined the impact of healthcare human resources development on the efficacy of applying accreditation standards in Yemeni hospitals . It aims to eliminate barriers for health managers and mitigate concerns regarding the voluntary adoption of accreditation standards in the health facilities they manage by maximizing the utilization of available resources . To clarify the most appropriate methodology for implementing these standards, the researcher conducted a field study involving four hospitals that voluntarily adopted international accreditation standards and embedded them as a strategic objective . A questionnaire comprising 124 items was developed and structured across three primary axes . The first axis contains eight variables representing the elements of human resource development: administrative leadership, organizational culture, employee recruitment and selection, empowerment, guidance and counseling, performance evaluation, training and development, and career development . The second axis involves four intermediate variables: administrative support for training and education, existence of clear job descriptions, administrative policies, and clinical and professional policies . The third axis encompasses nine variables representing the elements of Total Quality Management (TQM) and hospital accreditation standards: level of healthcare provider satisfaction, level of continuous improvement in care processes and techniques, level of continuous improvement in patient relations, level of operational efficiency, the hospital's competitive positioning, patient care standards, patient safety standards, management standards, and community service standards . The empirical data were analyzed using appropriate descriptive and inferential statistical tools via the statistical software package SPSS v.19 . The study concluded with a general finding that the optimal method for achieving TQM in hospitals is through the voluntary adoption and implementation o…
subject: Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
  topic: section
subject: Doctoral Dissertations (PhD
  topic: category
subject: Array
  topic: keywords
creator: Muneer Al-Wesabi
creator: Zaid Murad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0
date: 2017-05-10
publication date: 2017-05-10
starting page: 1
ending page: 321
doi: 10.13140/RG.2.2.15617.53602

The Role of Quality Systems in Improving the Performance of Healthcare Facilities in Yemen: A Case Study of the 48 Model Hospital"
type: item
description: This study examines quality and accreditation systems and their fundamental role in enhancing the performance of healthcare facilities in Yemen, specifically analyzing the experience of the 48 Model Hospital in implementing Total Quality Management (TQM). The research primarily aims to identify the current reality, systemic problems, and challenges confronting the Yemeni healthcare sector to formulate strategic solutions and proposals capable of addressing these issues. Furthermore, the study investigates the specific impact of TQM implementation on improving operational performance and elevating service quality at the 48 Model Hospital to a standard that qualifies it for international quality certification from a recognized accreditation body. To achieve these objectives, a descriptive-analytical approach was adopted. Survey questionnaires were utilized as the primary data collection tool, administered to a sample comprising 100 patients and 100 hospital employees, with the statistical mean employed for data and result analysis. Additionally, the hospital's level of compliance was evaluated against the established criteria of the Arabic Healthcare Institution Accreditation Tool. The study yielded several significant findings, most notably: quality and accreditation systems play an integrative and complementary role in improving healthcare performance. Quality systems provide standard operating manuals, procedural steps, and implementation requirements, whereas accreditation systems serve as standardized measurement and evaluation tools to gauge institutional compliance and progress. The findings also reveal that the quality of health services across the Yemeni healthcare sector remains critically low due to severe structural challenges, foremost among which is insufficient government expenditure allocated to the health sector, combined with a lack of leadership commitment toward implementing quality management programs. Conversely, the empirical field study strongl…
subject: Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
  topic: section
subject: Master's Theses
  topic: category
subject: Array
  topic: keywords
creator: Muneer ِAl-Wesabi
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0
date: 2012-12-28
publication date: 2012-12-28
starting page: 1
ending page: 246
doi: 10.13140/RG.2.2.22616.78086

Clinically Significant Statin-Drug Interactions in Older Patients with Chronic Diseases
type: item
description: Site these chapter: Alyahawi a A, Measar M, Alwesabi M, Alkaf A. Clinically Significant Statin-Drug Interactions in Older Patients with Chronic Diseases. Pharmaceutical Research - Recent Advances and Trends Vol. 4, B P International, pp.1-21, 2024. ⟨hal-05199313⟩ Background: People over 55 are more likely to have chronic conditions and be treated with multiple drug combinations. This can lead to drug-drug interactions (DDIs), which are often not considered in clinical practice. Statins are useful for older patients who have or are at risk for cardiovascular disease (CVD), need to be taken regularly over a long period of time, and may experience DDI. The risk of DDI varies between different statins, and the incidence and severity of statin interactions in elderly patients taking concomitant medications are significant. Objectives: The present study evaluate the prevalence and severity of clinically significant statin side effects among elderly patients (aged 55 years and older) receiving statin therapy for 18 months after discharge from a hospital in Sana’a; from January 2021 to June 2022. Methods: This retrospective cross-sectional study was carried out from January 2021 to June 2022 at a private hospital in Sana’a City, Yemen. Data collection was obtained from electronic medical register (covering demographic, clinical, and drug-therapy-related variables). The format was also filled with; BP, Sr.cr, HbA1c, HR, Total cholesterol, TG, LDL, HDL, AST, and ALT values for each patient. Drug interactions were identified using both Medscape and Lexicomp software. Results: Out of 200 patients, there were 175 (87.5%) individuals had a total of 865 clinically significant drug-drug interactions. specifically speaking, 55 (27.5%) individuals had a total of 72 clinically significant statin-drug interactions. 57 (79.1%) of which were category C, 14 (19.44%) of which were category D, and only 1 (1.39%) category X statin-drug interaction. There was also an association between advan…
subject: Scientific Scholarship of Faculty and Students of the Faculty of Clinical Pharmacy at 21 September University for Medical and Applied Sciences
  topic: section
subject: Scientific Scholarship of Faculty Members
  topic: category
subject: Array
  topic: keywords
creator: Ali Alyahawi
creator: Mojahed Measar
creator: Muneer Al-Wesabi
rights: Copyright (c) 2026 Ali Alyahawi، Mojahed Measar، Muneer Al-Wesabi (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2024-07-20
publication date: 2024-07-20
starting page: 1
ending page: 21
doi: 10.9734/bpi/prrat/v4/598

The Role of Governance in Improving the Quality of Healthcare Services in Yemeni Hospitals: (A Case Study of the Republican Teaching Hospital Authority)
type: item
description: This study aimed to investigate the role of governance—encompassing both administrative and clinical dimensions—in improving the quality of healthcare services in Yemeni hospitals, utilizing the Republican Teaching Hospital Authority as an empirical case study. To achieve the research objectives, the descriptive-analytical approach was adopted. A structured questionnaire was developed as the primary tool for field data collection, targeting a purposive sample of administrative and medical leaders, including directors, department heads, and supervisors. The study yielded several key findings, most notably: a moderate level of implementation across administrative governance (77%), clinical governance (76%), and the quality of healthcare services and their improvement mechanisms (74%). These figures underscore an urgent imperative for Yemeni hospital administrations to significantly elevate their commitment to governance and quality enhancement protocols. Additionally, the results indicated that the operational objectives of the quality management department comprehensively cover patient safety, public health, and clinical effectiveness, thereby enhancing patient satisfaction and optimizing the therapeutic experience. Conversely, the findings revealed deficiencies in optimizing and rationalizing expenditures relative to the approved financial plan, which consequently restricted the hospital's capacity to adequately fund essential quality management operations. Lastly, the study demonstrated that the hospital administration actively utilizes diverse information sources to support evidence-based decision-making for quality improvement in accordance with established indicators and benchmarks. Based on these conclusions, the study offers the following recommendations: Expand the implementation of institutional and clinical governance frameworks to bolster the operational objectives of the Quality Management Department and enhance key performance indicators (KPIs) of health…
subject: Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
  topic: section
subject: Undergraduate Graduation Projects
  topic: category
subject: Array
  topic: keywords
creator: Saba Al-Akwa
creator: Aqeel Al-Ataki
creator: Amira Al-Awadhi
creator: Ibrahim Abdulmoghani
creator: Ismail Al-Madoumi
creator: Muneer Al-Wesabi
creator: Anoud Al-Samei
creator: Burhan Al-Hajjaji
creator: Tasneem Al-Doais
creator: Rawan Salem
creator: Fahd Jarwash
creator: Mohamed Al-Nofeesh
creator: Jalal Al-Azizi
creator: Mohamed Al-Nazari
rights: Copyright (c) 2026 سبأ عبد الله عبد الله الأكوع، عــقيل عمر علي العتاكي، 3- أمــيره حـمود طه الــعواضي، 1- إبراهيم بشير محسن عبد المغني، 2- إســماعيل يحيى عبد الله المدومي، منير مصلح الوصابي، عنود محمد شرف السامعي، برهان جميل صالح الحجاجي، تسنيم نبيل محمد الدعيس، روان وليد محمد سالم، فهد يحيى حسين جرواش، محمد صادق أحمد النفيش، جلال محمد علي العزيزي، محمد عمرو عمر النظاري (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2024-05-26
publication date: 2024-05-26
starting page: 1
ending page: 133
doi: 10.65693/irss.2024.v5i1.39