Table 3 Themes from semi-structured interviews with representative quotations.

From: Evaluation of the administrative chief duty system in a tertiary reproductive hospital through personnel analysis

Theme

Description

Representative quotation (anonymized)

Personnel imbalance

Limited medical background among duty officers leads to handling gaps

Sometimes, non-medical staff are unsure how to respond in emergencies—patients can not wait for managers to call a doctor (clinical staff, interview 3)

Communication inefficiency

Cross-department coordination was delayed due to unclear liaisons

When a power outage happened in the embryo lab, it took hours to reach the right department leader (duty officer, interview 7)

Manual records

Paper logs slowed information sharing and follow-up

By the time reports are written, critical details are often lost. A digital log would save time (administrator, interview 10)

Training needs

Lack of standardized training undermines confidence and response

We need more case-based drills; many staff do not know what to do beyond calling superiors (nursing leader, interview 12)

Improvement strategies

Suggestions for system modernization

An online duty dashboard linking all departments could prevent miscommunication and delays (hospital leader, interview 14)