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
issn: 2958-5937
items: The Relationship Between Level of Support and Effective Communication with Mothers During Labor and Their Satisfaction with Childbirth Experience
items: The Relationship Between Anesthesiologists’ Knowledge Level and the Incidence Rate of General Anesthesia Complications Among Pediatric Patients in Government Hospitals
items: The Impact of Administrative Decisions on the Efficiency of Employee Performance (A Case Study of Al-Thawra General Hospital, Sana'a Municipality)
items: General anesthesia and its relationship to complications in the elderly patients from the perspective of the anesthetic staff (Sana'a Public hospitals)
items: The Impact of Implementing Total Quality Management on Improving the Efficiency of Health Services A Case Study of Kuwait University Hospital – Sana'a
items: The Role of Digital Transformation in Improving the Efficiency of Health and Administrative Services (A Field Study in Yemeni Private Hospitals for Amanat Al-Asimah – Sana’a
items: The Impact of Operating Room Technicians' Adherence to Safety Standards on Ensuring a Safe Working Environment in Public Hospitals (A Field Study at Teaching Hospitals in the Capital Municipality)
items: Role of The Operating Room Technician in Implementing Surgical Counting and Its Impact on Patient Safety in Public Hospitals – Sana'a
items: https://21umas.edu.ye/ojs/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)

The Relationship Between Level of Support and Effective Communication with Mothers During Labor and Their Satisfaction with Childbirth Experience
type: item
description: Objectives: This study aimed to evaluate the impact of midwifery support and communication on enhancing maternal satisfaction during childbirth. It focused on three core dimensions: emotional support, effective communication, and respect for autonomy, analyzing how each contributes to a positive maternal experience. Methodology & Psychometric Properties: The study involved a sample of (200) participants. The research instrument demonstrated excellent psychometric properties, with an overall Cronbach’s Alpha of (0.955), reflecting high internal consistency. Normality testing confirmed data eligibility for parametric statistical inference. Key Statistical Findings: Results revealed a very strong positive correlation between midwifery support and overall satisfaction )r = 0.851) Regression analysis indicated that midwifery support explains (72.4%) of the variance in maternal satisfaction levels. "Emotional and Social Support" emerged as the strongest predictor of satisfaction (beta = 0.529), followed by "Respect for Autonomy" and "Effective Communication." The "Personal Control and Subjective Experience" dimension recorded the lowest satisfaction levels, highlighting the impact of labor pain and birth trauma on maternal perception. Conclusions & Recommendations: The study concluded that childbirth satisfaction is the outcome of a "humanized care system." It recommended the adoption of the WHO Labor Care Guide, enhancing midwives' emotional intelligence, and utilizing non-pharmacological pain relief techniques to ensure care that prioritizes maternal dignity and autonomy.
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: Asmaa Ayad
creator: Halah Abdulqader
creator: Sondos Yahya
creator: Muneer Al-wesabi
creator: Emtyaz Al-Zahebi
rights: Copyright (c) 2026 اسماء اياد، هاله عبد القادر، سندس يحيى، منير مصلح الوصابي، امتياز الذاهبي وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-06-05
publication date: 2026-06-05
starting page: 1
ending page: 99
doi: 10.65693/irss.2026.v7i2.63

The Relationship Between Anesthesiologists’ Knowledge Level and the Incidence Rate of General Anesthesia Complications Among Pediatric Patients in Government Hospitals
type: item
description: Objectives: This study aimed to assess the cognitive knowledge level of anesthesiologists and its relationship with the incidence rate of general anesthesia complications among pediatric patients in government hospitals in Sana'a. Additionally, it evaluated the level of adherence to patient safety standards and clinical risk reduction practices within operating theaters. Methodology: A descriptive cross-sectional design was utilized, targeting a convenience sample of 61 anesthesia practitioners across three major public teaching hospitals in Sana'a: Military Hospital, Republican Hospital, and Police Hospital. Data collection was executed using a validated questionnaire (Cronbach's alpha = 0.75) containing 30 items distributed across five core dimensions evaluated on a 5-point Likert scale. Statistical analysis was conducted via SPSS (Version 27) utilizing the Mann-Whitney U test, Kruskal-Wallis test, and Spearman's rank correlation coefficient. Results: Demographic analysis indicated that the vast majority of the sample were males (86.9%), under 30 years of age (60.7%), and held a Bachelor's Degree in Anesthesia (68.9%). Regarding study dimensions, "Physiological & Pharmacological Knowledge" yielded the highest competence level (Mean = 4.56), followed by "Patient Safety and Risk Reduction" (Mean = 4.45), "Preoperative Knowledge" (Mean = 4.39), and "Airway Management Knowledge" (Mean = 4.14). Conversely, the indicators of complication incidence and response patterns fell within a moderate range (Mean = 3.84). A statistically significant, moderate-to-strong positive correlation was identified between the practitioners' cognitive level and both complication recognition and patient safety practices (rho range: 0.53 – 0.57, p = 0.001). Specialized course participation significantly enhanced preoperative knowledge (p = 0.035), while extended clinical experience (>10 years) significantly bolstered safety protocol adherence (p = 0.040). Furthermore, pharmacological knowledg…
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: Abeer Al-Rajawi
creator: Marwan Al-Harf
creator: Muneer Al-Wesabi
creator: Jubran Jarban
rights: Copyright (c) 2026 عبير الرجوي، مروان جبري علي الحرف، منير مصلح الوصابي، جبران حسان قايد جربان وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-06-05
publication date: 2026-06-05
starting page: 1
ending page: 57
doi: 10.65693/irss.2026.v7i2.62

The Impact of Administrative Decisions on the Efficiency of Employee Performance (A Case Study of Al-Thawra General Hospital, Sana'a Municipality)
type: item
description: This study aimed to investigate the impact of administrative decisions across its dimensions (clarity, employee participation, and suitability to work conditions) on the efficiency of employee performance (productivity, job commitment, and job satisfaction) at Al-Thawra General Hospital in Sana'a. The study employed a descriptive analytical approach. Data were collected via a questionnaire distributed to a stratified random sample of 300 employees from various job categories. The study revealed several key findings: The perceived levels of administrative decision dimensions (clarity, participation, and suitability) were low. Employee performance efficiency reached high levels in productivity and job commitment, whereas job satisfaction was low. There is a statistically significant positive impact of both decision clarity and decision suitability on employee performance efficiency. Employee participation in decision-making showed no individual significant impact on performance efficiency within the overall statistical model. Significant statistical differences in performance levels were found based on job category, favoring technicians and administrators over physicians. The study recommended enhancing institutional communication channels to improve decision clarity, activating genuine mechanisms for employee involvement in policy-making, and providing the necessary resources to ensure decisions are suitable for the operational reality.
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: Undergraduate Graduation Projects
  topic: category
subject: Array
  topic: keywords
creator: Ala'a Al-Hitari
creator: Al-Haytham Al-Shatbi
creator: Amani Al-Mukatteb
creator: Joumana Hilal
creator: Muneer Al-Wesabi
creator: Hanan Al-Harf
creator: Samar Al-Raee
creator: Ghadah Al-Qatrani
creator: Mohammed Al-Souli
creator: Wa'ed Salah
rights: Copyright (c) 2026 ألاء علي الهتاري، الهيثم معمر الشاطبي، أماني عبدالله المكتب، جمانه عبده هلال، منير مصلح الوصابي، حنان عقيل الحرف، سمر علي الراعي، غاده أحمد القطراني، محمد حميد الصولي، واعد محمد صلاح (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-05-30
publication date: 2026-05-30
starting page: 1
ending page: 100
doi: 10.65693/irss.2026.v7i2.54

General anesthesia and its relationship to complications in the elderly patients from the perspective of the anesthetic staff (Sana'a Public hospitals)
type: item
description: This study aimed to investigate the correlational relationship between general anesthesia and its subsequent postoperative complications among elderly patients (aged 65 years and older) from the unique perspective of the anesthesia team operating within public hospitals in the Sana'a Governorate, Yemen. Utilizing a descriptive analytical methodology, empirical data was gathered via a structured, closed-ended questionnaire distributed to a sample of 80 anesthesia professionals—including consultants, residents, and technicians—across four major public healthcare facilities: Al-Thawra General Hospital, the Republican Hospital, the Military Hospital, and Al-Kuwait Hospital. The collected data was statistically processed through the Statistical Package for the Social Sciences (SPSS) using frequencies, percentages, and arithmetic means. The findings revealed a substantial consensus (93%) among the anesthesia staff that geriatric patients exhibit a significantly higher vulnerability to anesthesia-related adverse outcomes compared to other age cohorts, a vulnerability primarily driven by age-associated physiological deterioration and pre-existing comorbidities. Hemodynamic instability—manifesting as intraoperative hypotension (70%) and bradycardia (91%)—along with the critical loss of airway protective reflexes (70%), were identified as the most prominent clinical challenges encountered during and after surgical procedures. Consequently, the study recommends the strict implementation of dedicated geriatric anesthesia protocols focused on highly precise, low-dose drug titration, exceptionally slow administrative injection speeds, and intensified close monitoring during the post-anesthesia recovery phase to preserve patient safety.
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: Abeer Al-Rajawi
creator: Ali jabber
creator: Abdallah hamoud
creator: Muneer Al-Wesabi
creator: Ashjan almihal
rights: Copyright (c) 2026 عبير الرجوي، علي يحيى جابر، عبدالله ناصر صالح حمود، منير مصلح الوصابي، اشجان هلال الميهال وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-05-30
publication date: 2026-05-30
starting page: 1
ending page: 93
doi: 10.65693/irss.2026.v7i2.61

The Impact of Implementing Total Quality Management on Improving the Efficiency of Health Services A Case Study of Kuwait University Hospital – Sana'a
type: item
description: This study aimed to measure the impact of implementing Total Quality Management (TQM) dimensions (Leadership, Employees, Processes, Partnerships, Strategy, Information) on improving health service efficiency (Patient Satisfaction, Service Speed, Procedure Accuracy, Error Reduction, Care Outcomes, Resource Utilization) at Kuwait University Hospital in Sana'a. The study adopted a descriptive-analytical approach, utilizing a simple random sample of (185) employees from a total population of (1,180) medical and administrative staff. Data were collected using a structured questionnaire and analyzed via SPSS using simple and multiple linear regression, independent samples T-test, and one-way ANOVA. The findings revealed that the overall level of TQM implementation and health service efficiency at the hospital was "Moderate," with mean scores of (3.17) and (3.14), respectively. The regression analysis confirmed a strong and statistically significant positive impact of TQM on efficiency, explaining (44.3%) of the variance in health service performance (R2 = 0.443). "Strategy" emerged as the most influential predictor of efficiency (beta = 0.334) , followed by "Information" and "Employees." Conversely, "Resource Utilization" recorded the lowest realization level due to the hospital's chronic financial deficit and a frozen operational budget. The study recommended revising the operational budget to align with current costs to address the 400-million-riyal debt crisis, accelerating digital transformation through integrated health information systems, and involving academic and nursing staff in formulating strategic goals to ensure sustainable excellence in care delivery. Keywords: Total Quality Management (TQM), Health Service Efficiency, Kuwait University Hospital, Yemen, Resource Utilization.
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: Hussein Al-Zaakari
creator: Ashraf Al-Mutawakel
creator: Bashar Al-Qulaisi
creator: Muneer Al-Wesabi
creator: Ezzaldeen Al-Dhaibani
creator: Zaidan Saibaan
rights: Copyright (c) 2026 حسين عبدالله الزعكري، أشرف عبدالرحمن المتوكل، بشار محمد القليسي، منير مصلح الوصابي، عز الدين يحيى الذيباني، زيدان فهد صيبعان وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-05-30
publication date: 2026-05-30
starting page: 1
ending page: 136
doi: 10.65693/irss.2026.v7i2.59

The Role of Digital Transformation in Improving the Efficiency of Health and Administrative Services (A Field Study in Yemeni Private Hospitals for Amanat Al-Asimah – Sana’a
type: item
description: This study aimed to analyze the role of digital transformation dimensions (Digital Strategic Planning, Digital Infrastructure, Digital Human Resources, and Supportive Institutional Environment) in enhancing the efficiency of health and administrative services in Yemeni private hospitals in 2025. The study employed a descriptive-analytical approach, collecting data via a structured questionnaire distributed to a sample of (243) medical, administrative, and technical staff across three major hospitals in Sana'a (University of Science and Technology, Modern German, and Yemeni European). Statistical analysis using SPSS indicated exceptional internal consistency for the research instrument (Cronbach’s Alpha = 0.966). The results revealed that digital transformation explains (R^2 = 0.350) of the variance in healthcare service efficiency and (R^2 = 0.390) in administrative services efficiency. Regression coefficients indicated that the "Organizational Environment" is the most influential factor in healthcare performance with full statistical significance (Sig = 0.000), while "Infrastructure" emerged as the primary driver of administrative transformation. Furthermore, the study identified a digital divide attributed to the age variable, while no significant differences were found regarding gender or educational level. The study recommended investing in organizational culture, strengthening digital governance, and enhancing cybersecurity as fundamental pillars for transitioning toward "Smart Hospitals" in Yemen.
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: Ayah Al-sabri
creator: Shima'a Sha'aban
creator: Bushra kamil
creator: Lames sharoh
creator: Roqia Mahdi
creator: Nourah Mufaddal
creator: Sama Al-zomani
creator: Wejdan Al-sohili
creator: Samar Abdullah
creator: Wiam Al-jaberi
creator: Muneer Al-Wesabi
rights: Copyright (c) 2026 آية عبدالله الصبري، شيماء عبدالله شعبان، بشرى عبدالله كامل، لميس نبيل شروح، رقيه جمال مهدي، نوره علي مفضل، سما أحمد الزماني، وجدان ماجد السهيلي، سمر أنور عبدالله، وئام محمد الجابري، أ.م.د. منير مصلح الوصابي (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-06-01
publication date: 2026-06-01
starting page: 1
ending page: 115
doi: 10.65693/irss.2026.v7i1.58

The Impact of Operating Room Technicians' Adherence to Safety Standards on Ensuring a Safe Working Environment in Public Hospitals (A Field Study at Teaching Hospitals in the Capital Municipality)
type: item
description: This study aimed to investigate the correlational relationship and statistical impact of operating room (OR) technicians' commitment to occupational safety standards on the sustainability of a safe work environment within public hospitals in Sana'a (Al-Thawra, Al-Kuwait, Military, and 48 Medical Hospital). Utilizing a descriptive-analytical methodology, data were collected via a validated and structured questionnaire distributed to a sample of 147 technicians. The instrument demonstrated high internal consistency with a Cronbach’s alpha coefficient of 0.872. The findings revealed a "very high" level of professional commitment among technicians, with an overall mean of (4.53/5.00), specifically in infection control and personal protective equipment (PPE) dimensions. Conversely, an organizational gap was identified in the "Safe Work Environment" محور, which scored a lower mean of (3.95), with "Organizational and Psychological Support" reaching its lowest level at (3.13). Linear regression analysis confirmed a statistically significant impact ( Sig = 0.000 ) of technicians' commitment on the work environment, explaining (21.3%) of the variance in environmental safety quality ( R2 = 0.213 ). Statistical tests (T-test and ANOVA) confirmed the homogeneity of professional commitment, showing no significant differences attributable to demographic variables such as gender, experience, or educational level. The study concludes that the safety system in Yemeni public hospitals currently relies on "individual resilience" and professional ethics rather than institutional frameworks. The study recommends a paradigm shift from "Safety-I" (focusing on error prevention) to "Safety-II" (enhancing resilience and learning from success). Furthermore, it emphasizes the institutionalization of psychological support and the adoption of non-punitive reporting systems to ensure sustainable safety in high-risk surgical environments.
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: Array
  topic: keywords
creator: Hadeel Al-Shuja'a
creator: Sami Al-Tuhami
creator: Aya Al-Hatiwa
creator: Hamza Al-Faiq
creator: Muneer Al-wesabi
creator: Areej Al-Sharafi & et al
rights: Copyright (c) 2026 هديل محمد الشجاع، سامي زيد التهامي، آية صالح الحتيوه، حمزة محمد الفايق، منير مصلح الوصابي، اريج ابراهيم الشرفي وآخرون (المؤلف) https://creativecommons.org/licenses/by/4.0
date: 2026-05-30
publication date: 2026-05-30
doi: 10.65693/irss.2026.v7i1.57

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: 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
creator: Muneer Al-Wesabi
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://21umas.edu.ye/ojs/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