Methods A Strengths, Weaknesses, Opportunities, and Threats (SWOT) matrix analysis following a Delphy methodology was conducted. A European model-based structure was designed, structuring an open staff point-of-care oriented programme, based on procedure-specific (PROSPECT) protocolization 4 . Strategic and Clinical Quality Indicators in Postoperative Pain Managemet' (SCQIPP) and Quality of Recovery 15 scores (QoR-15) were added as two main endpoints. Four months before the implementation these

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... scores were collected for comparison purposes. Visual Analog Scale (VAS), QoR-15, and SCQIPP scores were compared between these two periods. Results 400 surgical patients were followed (24% total knee replacement (TKR), 13% thoracic surgery, 13% laparotomy, and 6% Pfannenstiel incision). Epidural and femoral catheters were the most used regional analgesia techniques (58% and 27% respectively). A significant VAS reduction was found in Pfannenstiel, lumbar and hip surgeries, along with a significant QoR-15 reduction in lumbar, hip, and oncologic gynecologic surgeries. Significant increases in SCQIPP scores were found in TKR, Pfannenstiel, open nephrectomy, and hip replacement surgeries.