Active involvement of nursing staff in reporting and grading complication-intervention events-Protocol and results of the CAMUS Pilot Nurse Delphi Study.

Soliman, Christopher; Thomas, Benjamin C; Santaguida, Pasqualina; Lawrentschuk, Nathan; Mertens, Evie; Giannarini, Gianluca; Wuethrich, Patrick Y; Wu, Michael; Khan, Muhammad S; Nair, Rajesh; Thurairaja, Ramesh; Challacombe, Benjamin; Dasgupta, Prokar; Malde, Sachin; Corcoran, Niall M; Spiess, Philippe E; Dundee, Philip; Furrer, Marc A (2022). Active involvement of nursing staff in reporting and grading complication-intervention events-Protocol and results of the CAMUS Pilot Nurse Delphi Study. BJUI compass, 3(6), pp. 466-483. Wiley 10.1002/bco2.173

BJUI_Compass_-_2022_-_Soliman_-_Active_involvement_of_nursing_staff_in_reporting_and_grading_complication_intervention.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview


The aim of this study is to gain experienced nursing perspective on current and future complication reporting and grading in Urology, establish the CAMUS CCI and quality control the use of the Clavien-Dindo Classification (CDC) in nursing staff.

Subjects and Methods

The 12-part REDCap-based Delphi survey was developed in conjunction with expert nurse, urologist and methodologist input. Certified local and international inpatient and outpatient nurses specialised in urology, perioperative nurses and urology-specific advanced practice nurses/nurse practitioners will be included. A minimum sample size of 250 participants is targeted. The survey assesses participant demographics, nursing experience and opinion on complication reporting and the proposed CAMUS reporting recommendations; grading of intervention events using the existing CDC and the proposed CAMUS Classification; and rating various clinical scenarios. Consensus will be defined as ≥75% agreement. If consensus is not reached, subsequent Delphi rounds will be performed under Steering Committee guidance.


Twenty participants completed the pilot survey. Median survey completion time was 58 min (IQR 40-67). The survey revealed that 85% of nursing participants believe nurses should be involved in future complication reporting and grading but currently have poor confidence and inadequate relevant background education. Overall, 100% of participants recognise the universal demand for reporting consensus and 75% hold a preference towards the CAMUS System. Limitations include variability in nursing experience, complexity of supplemental grades and survey duration.


The integration of experienced nursing opinion and participation in complication reporting and grading systems in a modern and evolving hospital infrastructure may facilitate the assimilation of otherwise overlooked safety data. Incorporation of focused teaching into routine nursing education will be essential to ensure quality control and stimulate awareness of complication-related burden. This, in turn, has the potential to improve patient counselling and quality of care.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Wüthrich, Patrick Yves and Furrer, Marc


600 Technology > 610 Medicine & health








Pubmed Import

Date Deposited:

24 Oct 2022 11:54

Last Modified:

05 Dec 2022 16:26

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Delphi method complication grading complication reporting consensus paper urological surgery




Actions (login required)

Edit item Edit item
Provide Feedback