title: [Evolution of waiting time and length of stay between 2005 and 2012 in an obstetric and gynaecologic emergency unit in a French teaching hospital].
abstract: OBJECTIVE
  To compare and analyze waiting time and length of stay between 2005 and 2012 in the obstetric and gynaecologic emergency unit of Nantes teaching hospital, new unit opened in 2004.
  
  
  METHODS
  Descriptive study from the registers over 2months' periods in 2005 and 2012.
  
  
  RESULTS
  Despite an increase of the daily average number of visits from 28 to 39 (P<0.0001), the waiting time increased in obstetrics from 15minutes to 18 in 2012, P<0.03. In gynaecology, waiting time decreased in 2012 on daytime weekdays (37minutes versus 44) and increased on weekend (41minutes versus 28) and at night (37minutes versus 23) P<0.01. The length of stay was similar in obstetrics (108minutes versus 104) but reduced on daytime weekdays (124minutes in 2005, 109 in 2012, P<0.05). In gynaecology duration was similar (108minutes versus 105), but decreased on daytime weekdays (110minutes in 2005, 101 in 2012) and increased on overnight weekend (94minutes in 2005, 121 in 2012) (P<0.05).
  
  
  CONCLUSIONS
  Our organization enabled to improve some lengths of time despite an increased activity. Those lengths of time should be monitored as they reflect our organizations and are indicators of efficiency.
authors.affiliation: Pôle femme-enfant-adolescent, centre hospitalier universitaire, 38, boulevard Jean-Monnet, 44093 Nantes cedex, France. Electronic address: annesophie.coutin@chu-nantes.fr.
authors.forename: A-S
authors.initials: AS
authors.lastname: Coutin
authors.affiliation: Pôle femme-enfant-adolescent, centre hospitalier universitaire, 38, boulevard Jean-Monnet, 44093 Nantes cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Vaucel
mesh_terms: D004632:Emergency Medical Services / Q000379:methods / Q000458:organization & administration; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000592:standards; D005260:Female; D005602:France / Q000453:epidemiology; D006176:Gynecology / Q000458:organization & administration; D006784:Hospitals, Teaching / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data / Q000639:trends*; D009774:Obstetrics / Q000458:organization & administration; D011247:Pregnancy; D012042:Registries / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013997:Time Factors; D061665:Time-to-Treatment / Q000706:statistics & numerical data / Q000639:trends*
keywords: Durée de passage; Gynaecologic emergency; Length of stay; Obstetric emergency; Organisation; Organization; Temps d’attente; Urgences gynécologiques; Urgences obstétricales; Waiting time