We implemented a direct-observer hand hygiene audit program that used trained observers, wireless data entry devices, and an intranet portal. We improved the reliability and utility of the data by standardizing audit processes, regularly retraining auditors, developing an audit guidance tool, and reporting weighted composite hand hygiene compliance scores.

We acknowledge Philip D. Bailey, DO; David E. Cohen, MD; and Charles Dean Kurth, MD, for their role in developing a universal screening program for severe acute respiratory syndrome coronavirus 2 in children undergoing surgery at the Children's Hospital of Philadelphia in Philadelphia, Pennsylvania. No compensation was received for their role in this investigation. 1. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA.

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