TY - JOUR T1 - User-centred innovation to advance safe surgery at the point of need: report on development of the SurgiField system JF - BMJ Innovations JO - BMJ Innov DO - 10.1136/bmjinnov-2021-000893 SP - bmjinnov-2021-000893 AU - Debbie Lin Teodorescu AU - Sashidhar Jonnalagedda AU - Atif Rakin AU - Mike H M Teodorescu AU - Macauley Kenney AU - Julian Greene AU - Steven Bokshan AU - Hassan Mashbari AU - Asad Moten AU - Osaid Alser AU - Robert D Sinyard III AU - Ander Dorken-Gallastegi AU - Arnav Mahajan AU - Robert J Smalley AU - Daniel Frey AU - David R King AU - Meena N Cherian Y1 - 2022/06/29 UR - http://innovations.bmj.com/content/early/2022/06/29/bmjinnov-2021-000893.abstract N2 - What are the new findingsParallelised, iterative development of individual elements of a prototype technology may enable frugal as well as highly optimised innovation with increased, ongoing user feedback. However, managing integration risk, such as via stepwise integration, is critical to overall success of the innovation.The SurgiField system is able to provide both passive and active barriers against intraoperative contamination during a broad range of surgical procedures, particularly the so-called bellwether procedures that are used internationally to benchmark adequate access to surgical care.A modular, surgical site-based enclosure could be made efficient to deploy and take down, ergonomic and compatible with typical surgical field access requirements. This could be implemented with a conveniently sized package similar to large surgical drapes used normally for any major surgical procedure.How might it impact on healthcare in the futureOur work implements a paradigm shift from controlling the surgical environment at the operating theatre level to controlling it more precisely at the surgical site level. This conceptually expands the possibilities for systems and technological innovations needed to increase access to safe surgical care where patients need it.SurgiField systems could help expand access to safe surgery at the point of need.In conditions ranging from pneumothorax to acute compartment syndrome to fractures to traumatic and degenerative joint disease to appendicitis to obstructed labour to postpartum haemorrhage; safe, timely surgical intervention is the deciding factor among recovery, mortality or long-term disability. Consequently, access to quality surgical care is a global priority across the resource spectrum. Yet despite this, an estimated 18 million people die annually from conditions that safe surgery could address. Even more experience permanent disability from delayed, inaccessible, or unsafe surgery, generating a gross domestic product loss of US$820 billion from lost annual productivity.1 Far from requiring resource-intensive, sophisticated surgeries, the vast majority of surgical needs globally are captured by the simple, so-called bellwether surgical procedures. … ER -