The intervention was developed by a truly multi-disciplinary research team, representing expertise in co-design, software engineering, environmental psychology, veterinary practice, microbiology, and antimicrobial resistance.

Co-development was at the heart of the project and took the form of iterative, participant-centred workshops involving veterinary practitioners. This ensured it was made meaningful, appropriate and usable, and addressed key learning objectives and outcomes with respect to infection control measures.

Stages to the process were: 1) video capture of actual procedures; 2) independent risk analysis; 3a) procedure modelling and animation; 3b) verbal training script development; 4) intervention refinement; 5) intervention deployment; and 6) evaluation incorporated throughout.

Image 1

Risk assessments for bacterial cross-contamination were conducted using videos of full orthopaedic surgical procedures to inform the design of a short pre-operative sequence for the simulation tool.

Image 2

The tool was evaluated by volunteer clinical staff from Surrey University at various stages of its development.

Image 3

Stage 3 workshop interactive simulated training session with layer 2 'switched on' to illustrate transfer of contamination during a surgical procedure.