Having same issue. Numerous attempts to install KB4592438 - all resulting in Undoing Changes and return to original.
I have connected to four different support people... three trying everything to check Win 10 and my computer, including DISM, scannow, troubleshoot, RegWUEng, etc. Nothing is finding any issues.
The last support did separate this update from another. We got the other update to install and restart. But when we attempted install the above update, it failed again. I do note that it is a very large and lengthy install.... and quite a long undo session.
With others reporting the same issue, I think its time for MS to revisit this noted KB update and see if there is a real issue.