I know the title is word salad, but its basically like this, using quick access slot on epic/rare quality healing injector/hoffers, at some point, if I loot a common medical / bounce back item, its will slot in automatically and without acknowledgement for the epic/rare that I've already chosen, no warning, completely random (haven't seen the pattern at least), can do so in the middle of combat it seems, which makes using a weak medical item when it matters most... problematic