One fact stays pinned in place: hand-hygiene compliance on 4-West fell from 91% to 74%. Everything else is a dial. Change the writer, audience, context and purpose and the message rewrites itself in real time — then read the fit report to find out which of the five elements you just broke.
The five dials
Message — locked, this never changes
The fact Hand-hygiene compliance on unit 4-West fell from 91% to 74% this quarter. The institutional threshold is 90%. Two travel-nurse cohorts arrived without the hygiene module, and a dispenser in Rooms 412–418 was out for nine days.
Writer — who am I, and what standing do I have?
Audience — who reads this, and what do they already know?
Context — what channel, and how long do they have?
Purpose — what should happen after they read?
Twenty-seven combinations live in here. Three of them are the versions in the chapter; most of the rest fail, and the interesting part is which element the failure belongs to.