Background: Legal frameworks are crucial in regulating healthcare practices and serving as a check on healthcare practices. Standards, transparency, and legal liabilities all help reduce the number of medical errors. The medicolegal system is responsible for preventing and addressing cases of violence, ill-treatment, missing persons, and deceased individuals. The systemic approach necessitates a shift from enhancing institutional capacities to fortifying the medicolegal system. In Egypt, hospitals should have rules regarding patients' medical records and informed consent, but many struggle to actively alter care delivery practices. Objective: This study aimed to evaluate the involvement of strategic planning in the improvement of healthcare performance, the reduction of medical errors, and the compliance with the legal standard. Subjects and Methods: The data collection was carried out using a structured questionnaire which was the main tool for data collection and the methodology used is descriptive analytical. The study took a convenient sample of 100 healthcare professionals, including doctors, administrators and legal experts. Results: This study demonstrated the role of strategic planning in enhancing healthcare quality, which was achieved through improved coordination among departments, resource sustainability, optimized supply chain management, and a reduction in medical errors. Furthermore, the study identified several key challenges, including inadequate administrative systems, a shortage of qualified personnel, and insufficient legal clarity, all of which contributed to the occurrence of medical errors. The findings also highlighted the critical importance of addressing errors through root cause analysis (RCA) as a means to enhance patient safety. Conclusion: Strategic planning and root cause analysis are essential components of improving healthcare performance and ensuring the safety and quality of care. The study recommends improved legislation, well designed health curriculum, phased in RCA, better strategic planning to ensure better compliance and performance in the health sector.