Article Text
BOOK REVIEW
Evaluating the processes of neonatal intensive care: thinking upstream to improve downstream outcomes
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Edited by Joseph Schulman. London: BMJ Books, 2004, £20.00, pp 145. ISBN 0 7279 1833 8

This book tackles the issue of quality of care from a rather different angle, challenging the reader to examine and optimise the processes involved in neonatal intensive care rather than focusing solely on individual outcomes. It seeks to unravel the complex interplay between the many different components that contribute, directly or indirectly, to patient care. The book centres on the view that changes will only come about if we acknowledge that the neonatal unit and the people and activities within it function not in isolation, but within the context of a …