Hunches are a curious facet of human existence. It is a fascinating ability to somehow recognize the slightest discrepancy in the usual pattern, even if only subliminally... that “something's wrong” feeling. It is vital in healthcare that we be allowed to follow up on these hunch situations to see if there is indeed something going on such that our early, proactive actions can provide an improvement in service. It is this aspect that often makes the difference between an organization being proactive (great service) and retro-active (always dealing with the past). Develop your skills on hunches - it pays!