@Blue How? do you just use coordinates for the very first hit in the results or what? How would you identify what you wanted?
It can be hard to do it reliably with coord clicks, since title and name lengths change... BUT you can do it reliably if you have the window maximized so each cell has the max space, then the percent of incidents that screw up the spacing could be minimized. (Or you could modify hit scraper to put the accept link first and limit the amount of vertical space each cell is allowed to use so that it is always in the same place.)
More reliably you could use tabs... if your browser/scraper setup is static then you'll always have the same number of tabs to each accept button.
You can get faster and more reliable by modifying scraper to present the info the way you like it or creating new objects/actions. (obviously not an ahk alternative)
As far as actuating it via ahk... you could use an iterative counter with a timer to count the number of times you tap a single button in succession along with a logic loop to tell the script which link to click. (so if you press the ~ button 3 times it would accept the third scraper result) Or you could just do it with the first 10 links or so and have 10 hotkeys on your keypad or some such.
There are more ways than that... what can you think of?