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    1. Home
    2. Health and family
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    4. Infection prevention and control investigations

    Four Corners Health Centre, Mississauga

    Review the details of the Infection Prevention and Control (IPAC) Lapse Report.

    Initial report

    Premise or facility under investigation:
    75-7205 Goreway Drive 
    Mississauga, ON. L4T 2T9

    Type of premise or facility:
    Dental Office

    Date board of health became aware of the IPAC lapse: 
    2024-11-28

    Date of initial report:
    2024-12-06

    Date of initial report posting:
    2024-12-06

    How the IPAC lapse was identified:
    Self-reported

    Summary description of the IPAC lapse

    Self reported IPAC lapse in reprocessing of dental instruments including:

    • Reprocessing failure - critical and semi-critical dental instruments were not sterilized and subsequently put into circulation.

    IPAC lapse investigation

    Did the IPAC lapse involve a member of a regulatory college? Yes, RCDSO

    Were any corrective measures recommended? Yes

    Details of the corrective measures

    • Sterilize the affected instruments.
    • Ensure policies and procedures on reprocessing are consistent with the best practice guidelines.
    • Conduct staff education on reprocessing, including documentation.
    • Increase auditing and supervision of newly trained staff.

    Initial report comments and contact information

    Additional comments:

    • The lapse was resolved by the clinic staff before Peel Public Health was notified.
    • An on-site investigation was conducted; recommendations for improving staff training and supervision, as well as redundant checks were provided to the premise owner.
    • Dental clinic will proceed with patient notification.

    If you have any further questions, contact:
    Maureen Horn, Manager Health Services, Peel Region
    647-283-9739
    Email infection control

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