Toward Predictive Maintenance of Biomedical Equipment in Moroccan Public Hospitals: A Data-Driven Structuring Approach

Predictive maintenance (PdM) of biomedical equipment is increasingly recognized as a strategic lever to enhance reliability and ensure continuity of care. Yet, in resource-limited hospitals, implementation is hindered by fragmented data sources, non-standardized codification, and weak interoperability. Few studies have demonstrated the feasibility of structuring PdM data from real hospital interventions in middle-income countries. This work presents a prototype data structuring pipeline applied to six public hospitals in the Casablanca–Settat region of Morocco. The pipeline consolidates 6816 validated maintenance interventions from 780 devices across 30 departments and integrates normalized reliability indicators (Failure Rate, MTBF, MTTR corrected with IQR, and Downtime Hours). It ensures semantic harmonization, auditability, and reproducibility, resulting in a structured and interoperable dataset that constitutes a regional first in the Moroccan hospital context. To illustrate predictive potential, a proof-of-concept Random Forest model was evaluated. It achieved AUROC = 0.65 on the full imbalanced dataset and AUROC = 0.82 on a balanced 2000-intervention subset, confirming the dataset’s discriminative value while reflecting real-world challenges. This work bridges the gap between conceptual PdM frameworks and operational hospital realities, and establishes a replicable foundation for AI-driven predictive maintenance in low-resource healthcare environments.