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.diegojavierfares.com/mega-deal-Stanford-Fireplace-Mantel-Shelf-p6534-big-savings/