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Solving Asset Management, Utilization, and Workflow Challenges with RTLS

August 12, 2025
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Shannon Housh, Director of Consulting Services, CenTrak

One of the most persistent challenges affecting hospital efficiency is equipment loss and underutilization. Studies suggest that nurses can spend up to an hour each shift searching for medical devices, and hospitals often over-purchase by 10–20%  to compensate for misplaced assets.

Real-Time Location System (RTLS) tags affixed to items such as infusion pumps, wheelchairs, and ventilators continuously communicate with sensors to pinpoint the exact location of equipment across an entire building or campus. This real-time visibility not only reduces time spent searching but also prevents unnecessary rentals or replacements, unlocking significant cost savings. For example, RTLS asset tracking can increase utilization rates from around 42% to well over 75%, dramatically cutting rental expenses. Healthcare facilities leveraging more advanced systems have reported up to $5 million in savings and a 50% increase in nursing satisfaction, driven by reduced equipment hoarding and better access to resources, ultimately freeing up thousands of hours for direct patient care.

Advanced RTLS systems trigger preventative maintenance management alerts automatically when equipment enters maintenance zones or exceeds usage thresholds, helping teams anticipate issues before they occur. This not only maintains equipment readiness but also enhances patient safety by reducing the risk of device failures during critical care.

Supporting patient flow and bed management

Beyond asset tracking, RTLS facilitates smoother patient journeys and more efficient bed turnover. When beds, wheelchairs, or mobile medical equipment (MME) are tagged with RTLS badges, they become valuable data sources, generating time-stamped insights on availability, cleaning duration, and emerging bottlenecks. This continuous stream of data provides detailed, real-time occupancy metrics that go far beyond static snapshots, enabling facility managers to accurately model future flow according to day of the week, time of day, or seasonal demand. Integrating RTLS with patient administration systems and staffing tools allows for near real-time dynamic resource allocation, smoothing patient transitions and reducing costly delays at peak times.

Actionable data can also help inform capacity predictions. Machine learning models trained on RTLS-tagged flow patterns can predict bed availability hours earlier, enabling facility managers to anticipate surges in demand and mobilize staff accordingly. Over time, such forecasts can shift hospital operations from reactive to proactive, improving both care quality and financial performance.

Enhancing safety, staff well-being, and emergency response

RTLS plays a critical role in staff safety, particularly in high-risk departments where rapid response is essential. Staff badges equipped with panic buttons and real-time locating enable instant duress alerts, guiding security teams directly to the source of an incident. The immediacy of location visibility can significantly reduce emergency response times, a major advantage in situations where every minute matters.

Beyond emergency scenarios, RTLS strengthens overall safety and infection control. During infection outbreaks, wearable sensors can provide contact tracing between patients and staff, identifying potential exposure chains. Historical proximity logs and real-time updates guide targeted screening or quarantine decisions, ensuring more measured, precise interventions instead of blanket lockdowns.

RTLS also contributes to staff well-being and workforce management. By monitoring workflow and team distribution, the system can alert leadership to staffing imbalances, highlight surge conditions, and help reallocate resources during peak times. These data-driven adjustments reduce burnout, promote safer working conditions, and boost morale in demanding care environments.

Enabling context-aware AI to benefit RTLS

As real-time monitoring drives immediate benefits, AI-driven analysis is a growing power of RTLS. Overlaying location data upon machine learning frameworks enables the detection of movement anomalies, such as any patterns leading to violence or missing equipment.

The combination of RTLS and AI goes beyond simple oversight. It learns, anticipates, and optimizes. When applied to hospital security and clinical workflows, it can transform the patient experience and partner with healthcare professionals in truly meaningful ways: smarter real-time monitoring, stronger trust through visibility, streamlined emergency response, predictive safety interventions, and calmer overall environments.

Predictive algorithms can flag issues before they escalate. If a department starts showing longer-than-normal bed cleansing times, automatic alerts can prompt early actions. If a cluster of staff is frequently needed in a specific zone, risk-focused protocols could be triggered. Likewise, AI-backed predictive models can estimate weekly demand or staff presence—these actionable insights provide smarter bases for decisions on overtime, equipment ordering, or security deployment.

To scale these capabilities, hospitals must implement strong governance, compliance, and privacy protocols. As RTLS captures movement and interactions within care environments, it’s essential to prioritize privacy, security, and transparency. Pseudonymized identity assignment, role-based access control, encrypted communication, and configurable data retention are essential to ensure compliance and staff trust. Continuous auditing, permissions vetting, and transparent usage policies must be a key part of an implementation to remain sustainable.

Ongoing operation and maintenance demands are also real. Healthcare decision-makers must factor these in before the implementation process. The processes must be updated over time, alongside health monitoring, battery replacement, firmware updates, calibrations, feedback from healthcare teams, and so on. Long-term administration requires a joint and focused team comprising clinical, IT, security, and data officers to complete these tasks.

Integrating it – gain a comprehensive ecosystem

When all visibility components are connected via a shared, single sign-on (SSO) platform, RTLS powers a comprehensive operational and clinical ecosystem. Asset managers gain hardware utilization dashboards, teams receive proactive maintenance alerts, bed flow coordinators see live occupancy metrics, electronic patient record (EPR) systems log clinicians’ movements for audits, and mobile apps guide staff to the nearest available equipment directly from emergency alerts.

From an optimization perspective, the combination of ROI measurements, such as reduced rental costs and decreased search time, with predictive performance-driven intelligence offers strong strategic value. As RTLS solutions further develop, and certain vendors offer advanced scaling options, even smaller hospitals can expect efficiency benefits within months, thanks to savings across operational, clinical, and administrative departments.

Confronting key challenges with actionable data

RTLS is not a surveillance tool; it’s a powerful framework for enhancing operational efficiency, safety, and patient care. By pairing layered infrastructure with actionable data, predictive AI, and compliance guidelines, UK hospitals can confront the most formidable challenges: limited resources, safety threats, capacity constraints, and efficiency hurdles. In doing so, decision-makers can shine a light into the complexity of healthcare delivery and support care teams in delivering better, safer, and more compassionate care.

By treating RTLS as a comprehensive platform rather than a point solution, hospital leaders can launch greater efficiency and trust, grounded in technical excellence and human-centric design.