Nearly every time I sail. (Maybe I have bad breath, I dunno)
What do I do differently? If I'm alone, I definitely wear an auto-inflating PFD/harness combo, and clip on.
I pre-rig and pre-stage everything possible, from drinks & snacks, to tools so that I'm not leaving the helm unattended any longer than necessary.
I usually make a greater effort to let someone know where I'm going, when I expect to return, and when they should start worrying after me.
S/V Old Shoes
1973 Pearson 30 #255