Fig. 2

Schematic for stepped wedge design for the Early Recognition and Response to Increases in Surgical Site Infection (Early 2RIS) Trial. Gray = control, during which hospitals will receive traditional SSI surveillance, including biannual data reports. Any signals identified in biannual reports or detected by local personnel will undergo further investigation. White = intervention, during which hospital clusters will receive feedback from traditional surveillance and signals generated by applying optimized SPC methods to SSI surveillance data