Abstract Background Those attempting to implement changes in health care settings often find that intervention efforts do not progress as expected. Unexpected outcomes are often attributed to variation and/or error in implementation processes. We argue that some unanticipated variation in intervention outcomes arises because unexpected conversations emerge during intervention attempts. https://www.spidertattooz.com/OPI-Infinite-Shine-All-Your-Dreams-in-Vending-Machines-ISLT84-p27376/