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VERGLEICH · GESUNDHEITSWESEN

BLE – AoA vs UWB für das Gesundheitswesen RTLS – was passt.

BLE-AoA and UWB are the two leading RTLS technologies for hospital deployments — clinical workflow, infant protection, hand-hygiene compliance, asset finding, patient elopement prevention.

The accuracy needed varies dramatically by use case, and the right choice is rarely "the more accurate one". This is the operator-level comparison for clinical engineering and IT teams choosing between them.

BLE-AoA2–5 yrsBattery, sub-metrevsUWB10–30 cmSub-decimetre, months

Die Genauigkeitshierarchie im Gesundheitswesen

Hospital use cases stack at different accuracy tiers. Room-level: asset finding, broad workflow attribution, patient location for billing. Bed-level: infant protection, equipment association with patient, fall prevention, medication-administration record matching.

Sub-decimetre: hand-hygiene compliance with confirmed point-of-care attribution, surgical-instrument tracking. UWB delivers all three. BLE-AoA delivers room and bed comfortably; sub-decimetre is harder but possible in dense deployments.

Tag Battery Management – der operative entscheidende Faktor

Hospitals have hundreds to thousands of tagged staff, patients, beds and assets. BLE-AoA tags: 2–5 years on a coin cell. UWB tags: months to two years depending on update rate.

For a hospital fleet of 3,000 active tags, BLE-AoA's longer battery life reduces operational burden by 10× or more. Many large hospitals reject UWB on operational-overhead grounds even when accuracy is competitive.

Anwendungsfall-Passung

BLE-AoA wins: most asset tracking; clinical workflow attribution; bed-level infant protection (Quuppa-based systems are mainstream); broad hand-hygiene at room-level; equipment-utilisation analytics.

UWB wins: sub-decimetre hand-hygiene with confirmed point-of-care; surgical-instrument tracking; critical-care patient location with millisecond latency; high-density labour-and-delivery infant tagging.

Most hospital deployments mix both — UWB in the few zones that need it, BLE-AoA everywhere else.

Anbieterlandschaft im Gesundheitswesen

BLE-AoA / multi-tech healthcare RTLS: Quuppa (BLE-AoA underlay), CenTrak (multi-tech: low-frequency RF + BLE + Wi-Fi; market leader in hospital RTLS), Stanley AeroScout (Wi-Fi based, healthcare-specific), Sonitor (ultrasound for bed-level certainty), Midmark RTLS.

UWB healthcare: BeWhere, Sewio (industrial-leaning but used in hospitals), Decawave-platform vendors. Most large hospital RTLS deployments are CenTrak or Stanley AeroScout for the broad footprint, with UWB or ultrasound for the few zones needing sub-decimetre.

EMR und klinische Integration

Both ecosystems integrate into Epic, Cerner / Oracle Health, Meditech, Allscripts via standard interfaces (HL7 v2, FHIR, vendor-specific APIs).

Clinical workflow attribution ("who saw which patient when") requires correlating tag events with appointment data — the integration architecture matters more than the underlying radio.

We design integration in stage 1 — see /integrations/epic and /integrations/cerner-oracle-health.

TRACIO empfiehlt jeweils

Default to BLE-AoA for new hospital RTLS deployments where broad coverage matters: asset finding, workflow, infant protection, room-level hand hygiene. The operational advantage of multi-year battery life is decisive at hospital scale.

Add UWB in specific zones where sub-decimetre accuracy is non-negotiable: high-acuity hand hygiene with confirmed POC, surgical-instrument tracking, critical-care location.

Consider multi-tech RTLS (CenTrak, Stanley AeroScout) when you want a single platform vendor covering the full breadth — accepting that no single radio does everything optimally.

FAQ

Häufig gestellte Fragen

Welches ist besser für den Säuglingsschutz – BLE - AoA oder UWB?

Beides funktioniert. BLE - AoA-basierte Quuppa-Lösungen sind Mainstream. UWB zieht in sehr dichten Geburts- und Entbindungseinheiten vorne, wo die Subdezimeter-Sicherheit auf Bettebene eine Rolle spielt. Die meisten Deployments sind BLE - AoA.

Funktionieren meine bestehenden Wi-Fi-APs für RTLS?

Die meisten Krankenhaus-Wi-Fi (Cisco, Aruba) unterstützen die Positionierung des BLE auf Raumhöhe – nicht auf Submeter-AoA.

Für Submeter sind speziell gebaute BLE - AoA Locatoren (Quuppa) oder aufgerüstete AP-Modelle erforderlich. Wir dimensionieren die richtige Architektur in Stufe 1.

Verwendet CenTrak BLE - AoA oder UWB?

CenTrak verwendet einen proprietären Multi-Tech-Stack – Niederfrequenz-RF zur Gewissheit, BLE und Wi-Fi für eine größere Sichtbarkeit. Es ist weder ein reiner BLE – AoA noch UWB, sondern ein für das Krankenhaus optimiertes Hybridmodell.

Wie integriert sich das mit unserem EMR (Epic / Cerner)?

Über HL7 v2 / FHIR und herstellerspezifische APIs in Epic Rover und Cerner Location Services. Wir entwerfen die EMR-Integration in Stufe 1 – siehe /integrations/epic und /integrations/cerner-oracle-health.

Was ist die richtige Einsatzreihenfolge?

Typischerweise: Phase 1, breite RTLS-Abdeckung (BLE - AoA oder Multi-Tech) für Asset Finding und Workflow; Phase 2, Hinzufügen von Hochschärfezonen (UWB oder Ultraschall) für Handhygiene-Attribution, Säuglingsschutz und chirurgische Instrumentenverfolgung.

Wir definieren Phasen in Stufe 1 der /Methode.

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