It seems to be another manifestation of the same problem that plagues Surface Pro's... (haven't noticed it with Surface RTs/2s)
Something gets corrupted in the configuration (software or settings) either as a result of changing a device or performing regular updates and if your lucky you can do something to resolve it otherwise you end up doing a Refresh.
I switched a monitor from a DVI connection to a DisplayPort connection then back to DVI at that point it wouldn't display anything on the monitor anymore until I did a Refresh. I have seen numerous posts about people suddenly having problems after Windows Updates gone wrong, then maybe you remove them and reinstall to fix or end up doing the hail Mary REFRESH.
Maybe there's an issue with committing changes or flushing changes to disk before restarting or a drive firmware problem but there is a commonality to all of this with something. Too frequent to be coincidental or just random space particles but it doesn't seem limited to any one subsystem, module, or configuration setting.