Racial and ethnic disparities in health care are the leading threat to patient safety according to an annual top-10 list released by ECRI Institute, a non-profit research and risk management firm. Eight of the 10 concerns, including disparities, relate to COVID-19. Among them are improvised use of medical devices, telehealth workflow challenges and supply chain interruptions. The top-10 issues are chosen based on analysis of more than 4 million patient safety events and the judgment of ECRI’s patient safety and medication safety experts.