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Record W4417105855 · doi:10.1108/tqm-10-2024-0394

AI chatbots for healthcare maintenance: transforming total productive maintenance in the Industry 5.0 era

2025· article· en· W4417105855 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueThe TQM Journal · 2025
Typearticle
Languageen
FieldComputer Science
TopicAI in Service Interactions
Canadian institutionsUniversité du Québec à Trois-Rivières
Fundersnot available
KeywordsChatbotHealth careTotal productive maintenanceCLARITYScalabilityScope (computer science)Autonomy

Abstract

fetched live from OpenAlex

Purpose This paper introduces MedMaintBot, an AI chatbot designed to support biomedical technicians and non-expert users like nurses. The study explores the impact of integrating such an AI chatbot into Total Productive Maintenance (TPM) practices in healthcare, aligned with Industry 5.0 (I5.0) principles. Design/methodology/approach This study adopts a multi-phase methodology, starting with a literature review on technology integration in TPM within healthcare settings. It presents the chatbot development pipeline and conducts a large-scale validation study across 250 queries covering five medical devices (MDs) to demonstrate the chatbot's real-time, context-aware guidance capabilities. Performance analysis further evaluates MedMaintBot's potential to optimize TPM practices and support sustainability goals in healthcare maintenance. Findings The study reveals that MedMaintBot enhances TPM within healthcare by delivering accurate, context-aware guidance (Accuracy = 0.713, Relevance = 0.810), supporting nurse autonomy in routine maintenance and reducing technician dependency. While clarity and completeness were slightly below ideal for complex tasks, over 80% of autonomy-related queries were validated, showing strong support for first-level interventions. Combined with dynamic Large Language Model (LLM) switching between GPT-4 and MedLLaMA2, MedMaintBot strikes a balance between performance, cost and privacy, positioning it as a scalable and sustainable tool for healthcare maintenance. Research limitations/implications This research provides valuable insights for practitioners and researchers on enhancing autonomous maintenance (AM) through AI–chatbot integration, offering a scalable framework for integrating AI into TPM practices. It also encourages further studies to address gaps in procedural completeness and contextual continuity and assess scalability across diverse maintenance environments. Practical implications By providing real-time, context-aware guidance, the chatbot helps reduce user-induced errors, allowing non-expert users, such as nurses, to perform maintenance tasks. This not only reduces the burden on specialized technicians but also ensures better equipment availability, contributing to more streamlined healthcare operations and improved patient care. Social implications MedMaintBot promotes a more inclusive and resilient healthcare environment by empowering non-expert users with AI-driven support. Its adaptability aligns with the human-centric principles of Industry 5.0, fostering collaboration between technology and healthcare personnel. Originality/value This research is among the first to examine the integration of innovative AI chatbot with TPM practices within the healthcare sector, particularly in the context of I5.0. It demonstrates how such a system can significantly enhance operational efficiency, empower non-expert users and support sustainability in healthcare, offering a roadmap extending AI-assisted maintenance to broader industrial and resource-constrained environments.

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.

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)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.926
Threshold uncertainty score0.964

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.000
Scholarly communication0.0000.001
Open science0.0020.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

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 head0.019
GPT teacher head0.319
Teacher spread0.300 · 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