perational efficiency, and cost-effectiveness. Considering the critical role of these systems in healthcare, understanding the benefits and challenges is essential for hospitals seeking to optimise their operations. This study explores medical device tracking systems at Suhar Hospital using interviews for data collection, with thematic analysis to identify key themes related to tracking systems based on the responses of individuals at Suhar Hospital and the Analytic Hierarchy Process (AHP) to rank priorities among various factors such as human, organisational, business, and technological aspects, developed from the holistic framework based on HOT-fit and ISST frameworks. The findings reveal that human domain factors specifically related to improving the quality of service and patient safety are the key factors that need to be considered when implementing or developing a new system. Following this are the organisational factors, business, and technological factors. The observations made from the interview found that the existing system used manual or semi-automatic processes using the Al-Shifa system, which allows for asset tracking using numbers. However, most of the entries need to be manual. The findings highlight the need to replace the existing system with a more automated one that would ensure better efficiency and real-time monitoring and tracking using technology like RFID and IoT, which would also reduce the employees' workload. The framework also provides a yardstick that allows one to gauge the difference in opinions and adjust according to changing priorities across the four domains.