SynthesisJournal of advanced nursing2025
Patient positioning on the operating table and patient safety: A systematic review and meta-analysis.
Synthesis in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Patient positioning on the operating table and patient safety: A systematic review and meta-analysis.Journal of advanced nursing · 2025Pooled it
- Investigating the effect of video-based training on adherence of surgical positioning standards: a randomized controlled trial.BMC research notes · 2024Trial
- Effect of dynamic bundled positioning care on postoperative position-related transient neurological symptoms in patients undergoing robot-assisted lobectomy: A prospective cohort study.Journal of robotic surgery · 2026Observational
- Patient-Reported Pain and Satisfaction During Flexible Cystoscopy in Supine Versus Lithotomy Positions in Adult Men: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- Research Priorities in Perioperative Nursing Across the Lifespan: An e-Delphi Consensus Study.Nursing reports (Pavia, Italy) · 2026Article
- Harmful incidents following gynaecological ambulatory surgery: A scoping review.International journal of nursing studies advances · 2026Review
- Methodological Appraisal of the Munro Scale: Psychometric Properties and Diagnostic Accuracy in Adult Surgical Patients: A Methodological Study.Health science reports · 2026Article
- Article
- A qualitative study of facilitators and barriers to intraoperative acquired pressure injury prevention implementation in operating room nurses based on the CFIR framework.Frontiers in health services · 2026Article
- Nerve injury after total hip arthroplasty: etiology, preventive strategies and medico-legal considerations.Annals of medicine · 2025Review
- Construction of Quality Evaluation Index System for Surgical Positioning: A Delphi Method.Nursing open · 2025Article
- Positioning the surgical patient - roles, responsibilities and challenges. A qualitative study.Journal of advanced nursing · 2025Article
- Risk Factors of Positional Peripheral Nerve Injury in Robotic Laparoscopic Radical Prostatectomy.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo identify occurrence of harmful incidents related to patient positioning on operating table.
designSystematic review and meta-analysis. DATA SOURCES: Eight databases including Ovid, Medline, Embase, CINAHL, the Cochrane Library, Epistemonikos, Scopus, Web of Science and Google Scholar were systematically searched from the inception of the databases to August 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram depicting the flow information. REVIEW
methodsThe Cochrane Risk of Bias Tools were used to assess the risk of bias. Risk of harm with 95% confidence interval (CI) was estimated for each included study, and an overall risk was calculated using meta-analysis.
resultsOf the 22 included reports, two were randomized controlled trials (RCTs), five had a prospective cohort design, three had a cross-sectional design, and 12 were register-based studies. Intraoperative peripheral nerve injuries, perioperative pressure ulcers, musculoskeletal injuries, vascular injuries, postoperative pain and eye injuries were related to supine, lithotomy, Trendelenburg, prone and beach chair positioning. Overall risk of any harm was estimated as 0.2%. Studies with patients placed in prone positioning (8 study samples) had the highest risks of harm varying from 0.19 to 0.81, with an overall risk of 0.33. Meta-analysis of the two RCTs showed higher risk of chemosis with head-down positioning than with head in neutral position (overall relative risk = 1.64; 95% CI: [1.25, 2.14]).
conclusionsHarmful incidents related to patient positioning occur and consequences can be severe. The operating room teams should be aware of the harms and prevent and treat them seriously. IMPACT: This review underlines that research is sparse on patient positioning on operating table and harmful incidents. There is a need for high-quality, well-designed studies that focus on harmful incidents and prevention of harm related to patient positioning. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution, as this is a review of previous research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.