Skipped dose is not always one event; it is often an intentional or accidental state that should be distinguished.
Why it matters
Different reasons behind a skip lead to different interpretation, confidence, and next recommendations.
Decision split
- intentional skip: planned pause
- accidental skip: missed timing or forgetfulness
- hold: temporary stop due to adverse effects or risk context
What to do next
- For accidental skips, use catch-up only if safe and within window rules.
- For intentional skips, record reason and continue with the existing schedule.
- For holds, set a planned reassessment before resuming.
Scoring impact
Contextualized skips are less disruptive than unexplained repeated misses.
Unlabeled repeats quickly reduce consistency signals and increase conservative ranking.
Practical action step
Log skip reason the first time each pattern appears so the system can adapt without overreacting.
Uncertainty and limits
- Evidence is limited on skip behavior prediction across shift-heavy routines.
- Evidence is limited on how much a single contextualized skip can be safely offset.
Cross-site references
How this appears in Unfair
Skips feed adherence and recency logic, then influence reminder frequency and recommendation stability.
Clinical safety note
If a skip is associated with chest pain, severe dizziness, or neurological symptoms, escalate immediately and hold optimization.