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Record W4412191972 · doi:10.1186/s13643-025-02869-1

Do occupational health and safety tools that utilize artificial intelligence have a measurable impact on worker injury or illness? Findings from a systematic review

2025· review· en· W4412191972 on OpenAlexafffund
Arif Jetha, Hela Bakhtari, Emma Irvin, Aviroop Biswas, Maxwell J. Smith, Cameron Mustard, Victoria H Arrandale, Jack T. Dennerlein, Peter Smith

Bibliographic record

VenueSystematic Reviews · 2025
Typereview
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsWestern UniversityInstitute for Work & HealthUniversity of TorontoPublic Health Ontario
FundersWorkplace Safety and Insurance Board
KeywordsMedicineOccupational safety and healthSystematic reviewOccupational injuryPromotion (chess)Personal protective equipmentQuality (philosophy)Health careMEDLINEHuman factors and ergonomicsPoison controlMedical emergencyDiseasePathologyCoronavirus disease 2019 (COVID-19)

Abstract

fetched live from OpenAlex

BACKGROUND: Artificial intelligence (AI) holds promise as a tool that can be used by practitioners in the field of occupational health and safety (OHS). This study aimed to identify AI applications specifically used for OHS and examine their impact on worker morbidity or mortality outcomes. METHODS: We conducted a comprehensive systematic review. We searched six databases to identify published quantitative studies of OHS AI applications across the hierarchy of controls that were published between years 2018 to 2024. Title/abstract and full-text screening was conducted to identify eligible studies which were then assessed for quality and risk of bias and synthesized. RESULTS: Of the 1255 articles identified by our search, only two met eligibility criteria; one of which was appraised as medium quality and the other as low quality. The one medium quality study identified by our review was an AI-based chatbot health promotion tool which was shown to improve musculoskeletal symptoms. Our systematic review shows that we are at the early stages of understanding the role AI can play in OHS and it may be premature to recommend the wide-spread use of AI for health and safety practice within workplaces. CONCLUSION: There is a critical need for future research to unpack how considerations taken in the development and adoption of workplace AI tools for OHS can determine their effectiveness in addressing worker injury or illness. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42023414422.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.031
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Meta-epidemiology (broad), Insufficient payload (model declined to judge)
Consensus categoriesMeta-epidemiology (narrow)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.251
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0140.031
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0160.002
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.459
GPT teacher head0.530
Teacher spread0.071 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations15
Published2025
Admission routes2
Has abstractyes

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