<p><strong>Objective:</strong> To strengthen clinicians’ infection control awareness and risk realisation by engaging them in scrutinising footage of their own infection control practices and enabling them to articulate challenges and design improvements. </p> <p><strong>Design and participants: </strong>Clinicians and patients from selected wards of 2 hospitals in western Sydney. </p> <p><strong>Main outcome measures: </strong>Evidence of risk realisation and new insights into infection control as articulated during video-reflexive feedback meetings. </p> <p><strong>Results:</strong> Frontline clinicians identified previously unrecognised infection risks in their own practices and in their team’s practices. They also formulated safer ways of dealing with, for example, charts and patient transfers. </p> <p><strong>Conclusions: </strong>Video-reflexive ethnography enables frontline clinicians to identify infection risks and to design locally tailored solutions for existing risks and emerging ones.</p>