Institutional Repository for Scientific Scholarship at 21 September University for Medical and Applied Sciences
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.
21 September University for Medical and Applied Sciences, Sana’a, Yemen.
Role of The Operating Room Technician in Implementing Surgical Counting and Its Impact on Patient Safety in Public Hospitals – Sana'a
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 and introduce competency- based certification in surgical counting. Further multi-center studies—including private hospitals and additional provinces- are needed to develop a national profile of counting practices and patient safety.
Scientific and Community Output of the Deanship of Environment and Community Service at 21 September University for Medical and Applied Sciences
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
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
Copyright (c) 2026 د. منير مصلح محمد الوصابي، ماهر جارالله، إحسان العتمي، جفون العودي وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
A study of medication use within insured patients with chronic diseases
Scientific Scholarship of Faculty and Students of the Faculty of Clinical Pharmacy at 21 September University for Medical and Applied Sciences
Scientific Scholarship of Faculty Members
Copyright (c) 2026 د. علي اليحوي، د. منير مصلح الوصابي (المؤلف) https://creativecommons.org/licenses/by/4.0
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
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.
Scientific Scholarship of Faculty and Students of the Faculty of Medical Administration at 21 September University for Medical and Applied Sciences
Copyright (c) 2020 منير مصلح محمد الوصابي (المؤلف)؛ محمد دايل (مترجم) https://creativecommons.org/licenses/by/4.0
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
Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0
The Effect of Health Human Resources Development on the Efficacy of Applying Accreditation Standards in Yemeni Hospitals: A Field Study
The Role of Quality Systems in Improving the Performance of Healthcare Facilities in Yemen: A Case Study of the 48 Model Hospital"
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 strongly demonstrates that the implementation of TQM has played a pivotal role in remarkably enhancing the performance of the 48 Model Hospital and upgrading its service quality, thereby enabling it to successfully achieve initial registration for international accreditation.
Clinically Significant Statin-Drug Interactions in Older Patients with Chronic Diseases
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 advanced age, co-morbidities, and concomitant drugs with the presence of statin-drug interaction. The majority of atorvastatin medication interactions may be avoided by adhering to best practices in clinical care and clinical pharmacology, such as avoiding complicated treatment regimens, utilizing a single pharmacy for all prescriptions, and recognizing patient risk factors. Conclusion: From this study, it can be concluded that statins have a significant effect in the elderly, depending on many different factors as the use of many medications. Class C statin-drug interactions were also noted to be the most common, followed by category D statin-drug interactions.
Copyright (c) 2026 Ali Alyahawi، Mojahed Measar، Muneer Al-Wesabi (المؤلف) https://creativecommons.org/licenses/by/4.0
The Role of Governance in Improving the Quality of Healthcare Services in Yemeni Hospitals: (A Case Study of the Republican Teaching Hospital Authority)
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 healthcare services. Formulate a rigorous financial strategy designed to rationalize expenditures and maximize resource utilization for quality improvement, aligned with the approved state budget. Establish an institutional incentive and reward system to motivate personnel compliance with quality standards and relevant regulatory frameworks within the hospital. Prioritize the evaluation and execution of practical solutions and proposals by holding structured discussions with specialists and stakeholders to attain optimal outcomes cost-effectively within the institutional budget constraints.
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