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Purpose/Objectives Broken appointments are an important cause of waste in health care. Patients who fail to attend incur costs to providers, deny trainees learning opportunities, and impact their own health as well as that of other patients who are waiting for care. Methods A total of 410,000 appointment records over 3 years were extracted from our electronic health record. We conducted exploratory data analysis and assessed correlations between appointment no‐shows and other attributes of the appointment and the patient. The University of Michigan Medical School's Committee on Human Research reviewed the study and deemed that no Institutional Review Board oversight was necessary for this quality improvement project that was, retrospectively, turned into a study with previously de‐identified data. Results The patient's previous attendance record is the single most significant correlation with attendance. We found that patients who said they are “scared” of dental visits were 62% as likely to attend as someone reporting “no problem.” Patients over 65 years of age have better attendance rates. There was a positive association between receiving email/text confirmation and attendance. A total of 94.9% of those emailed a reminder and 92.2% of those who were texted attended their appointment. Conclusion(s) We were able to identify relationships of several variables to failed and attended appointments that we were previously unknown to us. This knowledge enabled us to implement interventions to support better attendance at Dental Clinics at the University of Michigan, improving patient health, student training, and efficient use of resources.

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Quantum computing research and development efforts have grown dramatically over the past decades, led in part by initiatives from governments around the world. Government quantum computing investments are often driven by national security or digital sovereignty concerns, with the language used depending on the geography involved. For example, a focus on “national security” and quantum computing is prominent in the USA, while European countries regularly focus on “digital sovereignty”. These phrases are often loosely defined and open to interpretation, and they share some common motivations and characteristics (but also have important differences). This paper identifies specific governmental entities typifying the national security/digital sovereignty perspectives, along with these organisations’ respective roles within national and international policy engagement in quantum computing. It analyses governmental structures, historical developments and cultural characteristics that contributed to this national security–digital sovereignty divide. Building on this analysis, we use the history of other technologies to illustrate how we might adapt tested policy approaches to modern political dynamics and to quantum computing specifically. We frame these policy approaches so that they do not overemphasise “digital sovereignty” or “national security”, but rather address interests shared across both concepts, with a view to facilitating international collaboration.

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