This volume presents a unique in depth examination of the effects that the popular approaches to management organizational change downsizing, restructuring, and reengineering had on a major hospital. The Human Cost of a Management Failure shows what can happen when management insists on accomplishing its ends strictly by the numbers. This is essential not only for corporate management, but also for other professionals and academics throughout the social and behavioral sciences Readers of the human Cost of a Management Failure are oriented to the literature on downsizing, restructuring and reengineering, and to the context of the study. Case material follows enabling readers to draw their own occlusions with regard to the nature of the organizational change and its effects upon the hospital's employees, and consultants offer their own viewpoints. An update of events at the hospital after the study was conducted is provided along with summaries by each author of his own interpretation and how he interprets the others' views. In this way, readers will get an unusual opportunity to evaluate their own viewpoint against those of the psychoanalytically trained researchers, and to decide for themselves whether there are, in fact, better ways to make an organization economically competitive in the marketplace. This volume is preparation for medical management of major incidents within the hospital, The volume aims to provide a systematic approach for all personnel who would be involved in managing a major incident in the hospital .