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Fig. 1 | BMC Medical Research Methodology

Fig. 1

From: The first step is recognizing there is a problem: a methodology for adjusting for variability in disease severity when estimating clinician performance

Fig. 1

Implementation of LTVV for ARDS. The implementation of LTVV is a multi-step process that starts with ARDS development and recognition. ARDS recognition requires the synthesis of multiple types of clinical information. The standardized tidal volume delivered to a patient, whether it falls within the LTVV range or not, is the end product of clinician decision making. Several potential barriers (dotted lines) may delay or prevent the implementation of LTVV.

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