The Impact of a Real-Time Locating System within the Perioperative Environment on Physicians and Patients' Families
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Updated: Dec 23, 2025

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Published on: January 6, 2023
Martin Heller1, Joseph Koval2, Ethan Miller3
1An orthopaedic surgeon at Humber River Hospital as well as a lecturer at the University of Toronto. He can be reached by email at MHeller@hrh.ca.
Background:
Humber River Hospital has implemented a real-time location system (RTLS) within the operating room in order to provide real-time information about patients' status and manage the many components involved during the perioperative journey.
Objective:
The aim of this study was to explore both physicians' and family members' perceptions of the functionality and efficiency of the RTLS within the perioperative environment.
Methods:
Semi-structured interviews were conducted with physicians and patients' family members to elicit various perspectives regarding the use of RTLSs throughout the perioperative process. Interviews were recorded and transcribed to extract key themes.
Results:
Three themes gleaned from physician interviews were system weaknesses, perceptions of potential benefit, and benefits to family members. Three themes uncovered from family member interviews included convenience, ameliorating anxiety, and reducing interruptions.
Conclusion:
Overall, physicians reported that the RTLS had potential to enhance workflow but that significant improvement regarding its implementation and use was needed to reach its full benefit. Family members were unanimous that it provides them with all the tracking information they desire.
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