Safety Outcomes During the 4-week intervention, 1547 hemodialysis sessions were completed out of 1616 expected (96%). Among the 69 missed hemodialysis sessions, 25 were prearranged absences. The remaining 44 missed hemodialysis sessions occurred in 22 participants: 13 participants were listed as “no-shows” without reason (four in TAKE, nine in HOLD) and nine participants were hospitalized. Among the four TAKE (6%) participants hospitalized during the intervention period, two were due to pneumonia, one was due to fever, and one was due to a non-ST elevation myocardial infarction. Among the five HOLD participants (8%) hospitalizedduringtheinterventionperiod,twoweredueto fluid overload (one of whom transitioned to comfort care and died), one was due to a non-ST elevation myocardial infarction, one was due tohemodialysis access malfunction, and one was due to an elective transcatheter aortic valve replacement. None of the hospitalizations was attributed to the intervention. There were no other deaths during the intervention period.