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Relay

Relay is an agentic operations platform for inpatient nursing: promises spoken at the bedside become tracked operational objects with an owner, schedule, and trigger, and six AI agents check them against the patient's li

Core trick

Turns bedside promises into tracked objects with trigger schedules, and a deterministic policy gate tiers agent actions for charge-nurse approval.

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Description

Relay is an agentic operations platform for inpatient nursing: promises spoken at the bedside become tracked operational objects with an owner, schedule, and trigger, and six AI agents check them against the patient's live chart, proposing actions that a deterministic policy gate tiers and a charge nurse approves, with every step audited. It solves two failures of hospital wards: deterioration that's caught late because threshold alarms ignore the hours of decline before them, and spoken commitments that silently expire in documentation.
superluis0/Relay★ 00 forksHTMLCreated Jul 18, 2026 · last push Jul 19, 2026

README excerpt

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<img src="docs/assets/hero.svg?v=2" alt="Relay: ambient AI turned the clinical conversation into a note. Relay turns it into actionable intelligence." width="100%">

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**[The console](#the-console-in-one-frame)** &nbsp;·&nbsp;
**[How it works](#a-promise-becomes-an-operational-object)** &nbsp;·&nbsp;
**[Architecture](#architecture-nightingale)** &nbsp;·&nbsp;
**[Quickstart](#quickstart)** &nbsp;·&nbsp;
**[Safety](#clinical-safety--governance)** &nbsp;·&nbsp;
**[Roadmap](#roadmap)**

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Relay is an agentic operations platform for inpatient nursing. Its core idea: a promise made out
loud at the bedside, like *"blood work every morning," "we'll adjust her blood-pressure medicines based
on the kidneys," "I'll call your daughter every evening"*, becomes an **accountable operational
object** with an owner, a schedule, and a trigger, continuously checked against the patient's
changing chart. When the data and the promises intersect (a creatinine rise meets a spoken
commitment to review renal dosing), Relay's agents propose the nursing action, a deterministic
policy gate tiers or blocks it, and the charge nurse approves it. Every step lands in an immutable
audit trail.

Categorically, it is the ontology-first pattern that redefined intelligence and logistics work,
applied to the care delivery floor:

| | |
|---|---|
| **The EHR** | System of record. Documents what happened. |
| **Relay** | System of action. A live ontology of the unit (patients, n

Team