Executive Summary Development of a Comprehensive Legal System for Investigation of Medical Errors from the group of experts to form an investigation committee. The committee members shall be nominated based on the nature of the complaint and theposition of the person against whom the complainthas been submitted;the committee’s chairperson shall be determined by a decision of theBoard of Directors. - The investigation committee shall submit its reports and recommendations to the Board of Directors, which has the power to take the decision it deems fit. - If the Board of Directors decides that a medical error has been committed, the patient shall be entitled to obtain compensation from the Medical Errors Fund, to be established under legislation that determines the fund’s management, expenses and revenues. The fund’s revenues may be generated from financial contributions by doctors and the Health Ministry, as well as from contributions made by private hospitals on behalf of their health professionals. Pending the establishment of the fund, compulsory insurance shall be introduced as a guarantee of compensation forpatients. The committee pointed out that, in order to realizetheseproposals, Palestine must catch up with the experiences of various Arab and foreign states in enacting independent laws for accountability formedical errors. That step is currently hampered by a dysfunctional Legislative Council incapable of debating and approving draft laws on medical liability, particularly the formation of medical error investigation committees and the provision of civil compensationfor damages suffered by patients due to medical errors. Nevertheless, it is not acceptable that we fail to devise the solutions necessaryto reduce cases of death and disability that still occur at private and public hospitals, in particularby pursuing pertinent and vital legislative procedures. Pending the enactment of an independent law on medical liability that would address all the relevant issues, we propose the following: A: Medical error investigation committees - A special system should be put in place for medical error investigation committees. The system should provide for selection procedures for these committees and their operational protocolsbased on the details outlined in the AMAN proposal.Article 83 of the Palestinian Law of Public Health makesit contingent on the cabinet to enact the procedures and executive by-laws necessary for the the law to be implemented. These by-laws should includeprovisions on how to deal with complaints lodged by citizens under Article 60 of the Palestinian Law on Public Health,which grantspatients the right to lodge a complaintagainst a health institution or health professional. 7

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