Various methods and systems are provided for workflow monitoring during x-ray mammography and related procedures. In one example, a vision system is utilized to monitor an x-ray mammography system, accessories associated with the system, and surrounding environment. Based on the detection and user indications, via a user interface for example, one or more of a current mode of operation of the x-ray system, a current workflow step in the current mode, and one or more errors may be identified using the vision system, and one or more of indications to the user and system adjustments may be performed based on the identification.