<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032019000300160</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del dolor postoperatorio, estandarización de protocolos de actuación, y mejora continua basada en resultados]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of postoperative pain, standardization of protocols of action, and continuous improvement based on goals and results]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garduño-López]]></surname>
<given-names><![CDATA[Ana Lilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro-Garcés]]></surname>
<given-names><![CDATA[Lisette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta-Nava]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán» Centro coordinador de la Red Mexicana Pain Out Departamento de Anestesiología y coordinadora de Unidad de Dolor Postoperatorio]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición «Salvador Zubirán» Centro coordinador de la Red Mexicana Pain Out Departamento de Anestesiología]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>42</volume>
<numero>3</numero>
<fpage>160</fpage>
<lpage>166</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032019000300160&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032019000300160&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032019000300160&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La valoración del dolor postoperatorio mediante escalas unidimensionales como la escala verbal análoga (EVA), están siendo abandonadas. Actualmente la evaluación se realiza con base a las actividades que, de acuerdo con el tipo de cirugía, el paciente pueda realizar durante las primeras horas del postoperatorio. El tratamiento del dolor requiere de un marco organizativo, que debe incluir el diseño de protocolos de actuación que permitan la mejora continua basada en resultados, de acuerdo con las necesidades de cada hospital. La implementación y planeación de estrategias mediante auditorias internas como el sistema Pain Out, son una base para la gestión de nuevas unidades de dolor agudo  (visitehttp://www.painoutmexico.com ) .]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The assessment of postoperative pain using unidimensional scales such as the verbal analog scale (VAS), are being abandoned. Currently the evaluation is made based on the activities that, according to the type of surgery, the patient can perform during the first hours of postoperative period. The treatment of pain requires an organizational framework, which must include the design of protocols that allow continuous improvement based on results, according to the needs of each hospital. The implementation and planning of strategies through internal audits such as the Pain Out system, are a basis for the management of new units of acute pain  (visithttp://www.painoutmexico.com ).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[evaluación del dolor]]></kwd>
<kwd lng="es"><![CDATA[dolor postoperatorio]]></kwd>
<kwd lng="es"><![CDATA[auditorias internas]]></kwd>
<kwd lng="es"><![CDATA[sistema de gestión]]></kwd>
<kwd lng="es"><![CDATA[Pain Out]]></kwd>
<kwd lng="es"><![CDATA[protocolos de manejo en dolor agudo]]></kwd>
<kwd lng="en"><![CDATA[pain assessment]]></kwd>
<kwd lng="en"><![CDATA[postoperative pain]]></kwd>
<kwd lng="en"><![CDATA[internal audits]]></kwd>
<kwd lng="en"><![CDATA[gestion system]]></kwd>
<kwd lng="en"><![CDATA[pain out]]></kwd>
<kwd lng="en"><![CDATA[protocols in acute pain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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