Cardiac procedural teams reported a randomized trial showing that patient positioning can meaningfully reduce procedure-related harm. In cardiac surgery patients undergoing transesophageal echocardiography probe insertion, a “sniffing position” significantly lowered fiberoptically detected oropharyngeal injury and improved first-attempt success. On the imaging side, a retrospective study found that automated pocket-ultrasound estimates of left-ventricular ejection fraction had poor reproducibility versus trained physicians in emergency settings. The contrast illustrates where workflow standardization can help—and where automation still needs refinement before clinical reliability targets are met.