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    1. Home
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    4. Infection prevention and control investigations

    Pickwick Dental, Mississauga

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

    Initial report

    Premise or facility under investigation:
    1474 Pickwick Dr. Unit 3. Mississauga, ON. L5V 2G2

    Type of premise or facility:
    Dental Office

    Date board of health became aware of the IPAC lapse:
    2024-09-20

    Date of initial report:
    2024-09-26

    Date of initial report posting:
    2024-10-09

    How the IPAC lapse was identified:
    Dentist self reporting

    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 cleaned but not sterilized and subsequently put into circulation.

     

    IPAC lapse investigation

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

    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.
    • Increase auditing and improve consistency in the use of sterilization and cleaning logs.
    • Conduct staff education on reprocessing; including monitoring of physical, biological, and chemical indicators.

    Additional comments:

    • The lapse was resolved by the clinic staff before Peel Public Health was notified.
    • 1 of 2 non-sterile instrument packages were removed from circulation prior to use and immediately sterilized.
    • An on-site investigation was conducted; recommendations for improving quality and consistency were provided to the premise owner.
    • Dental clinic will proceed with patient notification.

    Final report

    Date of Final Report Posting

    2024-10-25

    State and date of all corrective measures that were confirmed to have been completed

    2024-10-11: Verification patient notification has been completed.

    2024-10-24: Verification public health recommendations have been implemented.

    Final report comments and contact information

    Additional comments: n/a

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

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