CONCLUSIONS: Catastrophic fungal, fatal meningitis outbreaks in Mexico arose from failures of governance, learning, oversight, culture, supply chains, and frontline practice-and prevention requires coordinated action across the entire sociotechnical system. By situating perioperative safety failures within the broader context of health-system governance, this study demonstrates the value of participatory systems inquiry for linking frontline clinician experiences to policy and organizational [...]

Clinical AI has advanced rapidly for bounded in-visit tasks such as prediction, documentation, and message generation, yet many costly failures in care occur outside the encounter when follow-up, handoffs, and communication break down. We argue that the next challenge for clinical AI is not only better task performance, but better operational follow-through across the care journey. We propose the PACT framework (Patient-centered, AI-enabled Continuity and Timely action) that reframes clinical AI [...]

CONCLUSIONS: US family medicine residency programs should prioritize these 54 consensus applications when structuring POCUS curricular implementation plans with a goal of facilitating graduating residents' competency in these clinical applications. [...]