Executive Summary Development of a Comprehensive Legal System for Investigation of Medical Errors of the diverse legal systems governing the health sector. Although the PNA has adoptedlegislation and policiesto develop and consolidatelegislation applicable to the health sector, its efforts have fallen short of holding health professionals found to have been negligent in the performance of their duties administratively accountable. The review is based on six themes covering the legal framework for national legislation to hold health professionals administratively accountable in light of relevant experiences in the Arab world. The first theme, the general framework, addresses topics related to the legal form of provisions for administrative investigations of medical errors and the principle of confidentiality. The second theme addresses disciplinary penalties. The third theme tackles the organizational framework of the committee tasked with investigating medical errors, including its formation, terms of reference, the qualifications of committee members, how committee investigations are recorded and the response of the committee chairman or member(s). The fourth theme outlines the committee’s operational procedures: the method of submitting complaints, procedures for investigating medical errors administratively and the cross-examination of witnesses before the committee. The fifth theme addresses appeals against the decisions of the investigation committee or disciplinary council. The sixth theme covers the final provisions for a legal system, such as financial recompense for committee members and the implementation of the disciplinary council’s decisions by the Ministry and the public prosecution. In light of the long-term goal to enact a law on medical liability, the second topicaddressed is the aspirations for aPalestinian legal system applicable tocases of medical error. Official and unofficial authorities need to work togetherto realize this goal. Reference is made to models that could be adopted by Palestine to develop its legal system in this area based on relevant experiencesin the Arab world. The study outlines the existing legal procedures to investigatemedical errors anddescribes the recommendations proposed by the committee in the 2012 reportonmedical errors, particularly the workshop held by the Coalition for Accountability and Integrity (AMAN) in May 2013 on accountability in such cases. The study presents relevant approaches, including the institutionalization of the work undertaken by investigation committees, the formation of the committees, operational procedures, reporting lines and preparation in a manner that ensures impartiality, competence and effectiveness. The study emphasizes the need for compulsory insurance against medical errors and the establishment of a compensation fund that would offer a fundamental guarantee of compensation for patients subjected to medical errors that are not the result of error, oversight or negligence by medical staff. It highlights the need to adopt an inte5

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