Although news reports of alleged inappropriate stent implantation grabbed headlines over the past year, a registry review did not find widespread issues. Maryland has emerged from the shadow of two prominent cases with a new law setting strict standards for hospital oversight. Strategies such as random case reviews can be important in addressing problems before they become serious, said Dr. Ajay Kirtane of Columbia University Medical Center and Dr. Ken Rosenfield of Massachusetts General Hospital. "With consistent, transparent peer review, cath labs can identify those interventionalists who haven't necessarily breached ethical boundaries, but who could benefit from education about new techniques or practice style changes," Kirtane said.

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