Perspectives on the Narrative Review of the Knowledge on Artificial Intelligence

Thank you for your thoughtful response to our article and for sharing insights into your own rapid response team practices. We appreciate your engagement and the opportunity to clarify and expand on aspects of our work.We currently allocate 1 high-acuity response team (HART) nurse per shift. We have found that multiple priorities often occur simultaneously, including rapid response activations, cardiac arrests, ST-segment elevation myocardial infarctions, strokes, and traumas. The HART program is actively assessing volume and workflow to determine whether there is an operational need for a mid-shift HART nurse to support these demands.In our article, we used the Rothman Index (RI) as our early warning system (EWS). The RI tool is validated and approved by the Food and Drug Administration and is designed to predict patient decline. Although we did not conduct a patient-level analysis to determine whether individual RI scores directly correlated with rapid response activations or unplanned intensive care unit transfers, we agree that this focus would be valuable for future research and/or evidence-based initiatives.In response to your question about whether improved outcomes are driven by the EWS or by proactive rounding and mentorship of bedside staff, we believe the EWS is one tool in the nursing toolbox. It enables nurses to analyze and evaluate patient data more efficiently, detecting early signs of clinical deterioration. However, it is ultimately the nurse who must interpret the data and intervene appropriately. The EWS is only as effective as its application—if no one is actively using it, it cannot improve outcomes. The dedicated role of the HART nurse is to bridge the gap between technology and clinical practice, delivering timely and effective care to patients.We appreciate your interest in our work and share your commitment to advancing rapid response practices to improve patient care.