Repositioning that gets through
even with those who refuse it.
AMS closes the care gap in pressure ulcer prevention — where neither manual repositioning nor today's active anti-pressure-ulcer systems can reach. In patients with dementia, delirium, pain, defensive behavior or anxiety.
30 – 70 %* of patients are disoriented or cognitively impaired — depending on the care setting. This is exactly where conventional standards reach their limit.
This intersection is precisely the care gap. This is exactly where AMS becomes a reliable team member — your technical nursing assistant for 24/7 process reliability.
Two patient groups are growing fastest demographically — and remain structurally out of reach for manual care. They need different answers.
A high Braden score suggests safety. The reality: hours of immobility through the night. Invisible without continuous monitoring.
Highly vulnerable patients with dementia, delirium, pain, defensive behavior or anxiety. Manual position changes are refused — and conventional alternating-pressure systems are contraindicated.
Staff are scarce — that is real. By 2035, Germany will be short 1.8 million health-care workers*, with Austria and Switzerland on a similar path. Yet even then: for up to 70 %* of cognitively impaired patients, more hands no longer help. What the night shift can no longer reliably deliver — repositioning every two hours, even against refusal — AMS takes over, automatically and around the clock.
The nursing mandate stays the same. What changes is the routine behind it.
AMS is indicated wherever manual repositioning is refused — particularly with dementia, delirium, pain, defensive behavior or anxiety — where today's care concepts, too, reach their limits.
The resident or patient refuses manual repositioning — calls out, resists, lashes out. Dementia, delirium, postoperative disorientation, sundowning: manual repositioning becomes a nightly flashpoint. AMS repositions continuously without the person feeling pressured. Sleep is preserved, and the nursing task is decoupled from the conflict.
Postoperative, fractures, palliative: every manual position change causes pain. The patient stays too long in the same position — pressure ulcer risk rises. AMS repositions without the painful trigger.
Tetraplegia, advanced neurological disease, severe stroke, ALS: the patient depends on 24/7 repositioning — done manually, this pushes the team to its limits, physically and in time. AMS takes over continuously, without waking, without handling.
Multiple diagnoses, multiple risk factors, a high level of care. Manual repositioning is possible — but time-consuming and physically demanding for the nursing staff. AMS gives nursing time back — for what only a human can provide.
AMS is not a standard-issue bed. It is a targeted nursing intervention — effective for clearly defined indications, whether in long-term use or for a limited period.
Postoperative, palliative, acute pain phase, acute disorientation. AMS secures repositioning through the critical phase.
A high-risk patient with dementia or chronic refusal of repositioning. AMS is the continuous care — not the exception.
Immobility revealed by Mobility Monitor data — even when conventional scales stay unremarkable. AMS closes the gap between detection and care.
Pressure relief that doesn't wake you.
Active Mobilisation System looks like a mattress. It is not one. Five properties that work together — even where manual care no longer reaches today.
Patented high-tech modules relieve vulnerable skin areas with precision — and support therapy up to pressure ulcer stage 4.
Continuous, barely perceptible. Works regardless of willingness to cooperate.
A reactive foam overlay maintains body awareness. No loss of movement, no unlearning.
No staff commitment. No training time. At three in the morning, too — without disturbing sleep.
Even with dementia, delirium, defensive behavior — the movement is not experienced as an intrusion.
Sensor-guided, gentle repositioning beneath a comfort mattress. Compatible with any bed, ready to use in two minutes.
Invisible in use. What patients and relatives see is a comfort mattress — the discreetly integrated technology stays hidden.
Existing aids each address only part of the problem — pressure relief or process relief or patient acceptance. AMS is so far the only system to combine all three in one integrated solution.
Active pressure relief on vulnerable skin areas — and support for therapy up to pressure ulcer stage 4.
Automated repositioning 24/7, with no staff commitment — on night duty, too, and with reduced shift staffing.
Gentle, silent, barely perceptible — effective even with dementia, delirium, pain and defensive behavior.
Source: AMS Executive Insight Report — chapter Technological Differentiation.
Highlighted: The two dimensions in which AMS is the only system that works.
| Dimension | Manual repositioning |
Alternating-pressure mattress |
30° turning mattress |
AMS |
|---|---|---|---|---|
|
Systematic relief of critical care processes
Automatic lateral positioning
|
✗ | ✗ | ✓ (30°) | ✓ (20°) |
|
Closing the care gap in dementia
Acceptance in disorientation
|
✗ | ✗ | ✗ | ✓ |
|
Restful sleep as a clinical success factor
Uninterrupted sleep & low noise
|
✗ | ✗ | ✗ | ✓ |
|
Natural lying comfort
Foam comfort & body awareness
|
✓ | ✗ | ✗ | ✓ |
|
Active pressure relief (alternating-pressure principle)
Local pressure relief, cell alternation
|
✗ | ✓ | ✗ | ✓ |
|
Tissue-sparing mobilisation
Minimisation of shear forces
|
✓ | – | ✗ | ✓ |
Over ten years of AMS practice · 10+ AMS-specific studies and field studies · several hundred AMS systems in use across the DACH region — acute and long-term care.
Prevention and therapy up to stage 4 — even with patients who refuse manual repositioning.
~ 1 hour of nursing time per at-risk patient per day, given back to the team.
Silent, pain-free — sleep is preserved.
Even with dementia and defensive behavior — the movement is barely noticed.
At one of Germany's largest university hospitals, AMS is used routinely — across several wards, in the acute care of high-risk patients.
One of Switzerland's largest acute hospitals. Nursing teams are noticeably relieved and, with AMS, care for markedly more patients — visible in the quality indicators.
University geriatric medicine, Basel — in use since 2018 with patients who have dementia and defensive behavior. Care where manual repositioning falls short. Eight years of documented practice in the geriatric setting.
«Less lifting and repositioning spares our backs. The great majority of the team is enthusiastic. The ease of operation and the high acceptance among nursing staff are especially decisive. What is striking is the high efficacy against pressure ulcers up to stage 4, the relief of staff workload and the early mobilization of patients, which leads to shorter lengths of stay.
«Surprising was the positive effect of AMS in patients with pain. By preserving body awareness and self-initiated movement, together with its imperceptible or barely audible operation, AMS can offer advantages over air systems for patients with an underlying neurological condition or before and after neurosurgical procedures.
«Better sleep quality – With instruments like AMS we make our work easier, safeguard the health of our staff by easing the strain on their backs, and we improve residents' sleep quality. My staff and I are enthusiastic about AMS.
«Our patient's sleep quality and well-being have improved. The automatic repositionings were barely noticed by the patient and had an effective outcome on the existing skin redness — with high ease of use. The noise emissions are also very minimal, which the patient rated as very positive. AMS has great potential in pressure ulcer prevention and also in improving patients' quality of life.
«An advantage with cognitively impaired patients – When cognitively impaired patients are repositioned at night by nursing staff, they wake up and then need a long, restless period before they fall asleep again. With the continuous mobilization of AMS they sleep through and are alert during the day to take part in our therapies.
«A pressure ulcer healed – A resident returned from the hospital with a pressure ulcer 4 cm in diameter. We placed her on AMS, without repositioning her separately, and in next to no time the pressure ulcer healed – without our having to reposition her on top of it. That astonished me greatly.
Automated nursing capacity is not a recurring purchase. It is strategic infrastructure — refinanced through four levers, visible in the annual accounts.
Effective support for prevention and therapy up to stage 4 — even with patients where manual routine reaches its limits. Avoided follow-up costs, avoided nursing effort.
Manual repositioning rounds, significantly reduced. The freed-up time flows to tasks only a human can take on — without adding posts.
Avoided pressure ulcer liability cases. Reduced length of stay through prevented complications — directly revenue-relevant in DRG/flat-rate case logic.
Reduced physical strain — fewer back problems, fewer sick days. Lower turnover, lower recruiting costs. Night shifts become easier to plan.
The status quo is not a neutral option. Every loss of efficiency speeds up the cycle of staff shortages, agency-labor costs and ward closures.
From repositioning to accompanying. From waking to protecting. From enduring to accepting.
Nursing staff are freed for what they were trained to do: relationship, observation, primary nursing. The heavy routine work is handled by the system.
AMS works during sleep. Pressure is relieved without patients waking or being startled. Sleep remains — so does dignity.
Even with dementia, delirium and pain, skin protection becomes possible — without patients experiencing it as an intrusion. Care that gets through.
96% efficacy. 91% relief. 86% acceptance. Proven across ten years of acute and long-term care.
Three coordinated tools that make a single care process safer: detect risks — secure repositioning — prevent falls. Modular, scaling with demand, with no system change.
Sensor-based patient monitoring — continuous, without relying on nursing self-assessment. Makes silent immobility, sleep quality and getting-up behavior measurable — before a skin lesion or fall occurs.
Automated repositioning 24/7 — even with dementia, delirium, pain and defensive behavior. Closes the care gap where manual nursing structurally ends today. Pressure ulcer prevention and therapy up to stage 4.
Anticipatory fall prevention with a 360° bed-edge and bed-exit warning — before the fall happens. Up to 90% fewer falls from bed.
We take them seriously — and answer them openly, before any conversation begins.
Standard mattress off, AMS straight onto the slatted base, cover over the top. Ready to use within two minutes — no IT connection, no structural changes to the bed, no interface into the facility infrastructure. Yes, AMS is a certified Class I medical device under the MDR (EU 2017/745). A documented evidence base from over ten years of field studies — supporting therapy up to pressure ulcer stage 4.
Understandable, because that is how it looks. The reality: a standard mattress relieves pressure. AMS automates a nursing process (repositioning) that otherwise ties up 67 minutes of nursing time per at-risk patient per day — and that, with dementia, delirium or pain, often fails on defensive behavior, not on nursing diligence. Don't compare it with a mattress, but with an assistant standing beside the bed at three in the morning.
Not in TCO terms. A month of AMS costs less than six hours of agency labor — and delivers ~ 4'290 repositionings instead of 36. Refinanced through four levers: pressure ulcer avoidance, freed-up nursing time, reduced liability, and staff health & retention — the lever that lowers sick leave and turnover at the same time. Net benefit per system per year in the five-figure range. ROI factor 10.5× in the rental model. House-specific calculation in conversation.
True — for the patients who tolerate manual repositioning. For the others — dementia, delirium, pain patients, aggression — it is refused or escalates. This is exactly where AMS comes in. The question is not whether nursing staff can reposition manually — but with whom that is no longer possible.
Manual repositioning remains a core nursing competency. AMS is assistance, not a 100% replacement. In practice, AMS reduces manual repositioning rounds by up to 91%* — nursing staff step in selectively for what remains necessary for the individual patient (e.g. heels). During the day, active mobilization — joint guidance, transfer, activation — stays central to nursing: for preserving function and mobility. What AMS ensures structurally: repositioning happens even when the shift cannot deliver it continuously — at night, under staff shortages, with patients who refuse position changes. The advantage: reproducibility and process reliability.
86% patient acceptance in field studies — even with dementia, because the movement is gentle and barely perceptible. Among nursing staff: relief from physically heavy routine — training and onboarding are part of what we promise. Acceptance grows because the system removes routine rather than adding it.
That is exactly what we make visible — either in a 30-minute conversation or in a structured 4-week pilot. Which wards would benefit most. How much nursing capacity realistically flows back into the team. Which patient profiles slip through the net today.
Not a sales pitch — a mirror held up to your situation. By the end you will know whether it fits. And so will we.
Solid data from your own facility. No contractual pressure. No other provider runs a pilot this structured.
Sources & evidence: All figures marked with an asterisk (*) on this page come from the AMS Library Clinical Evidence (a compilation of clinical studies) and the Executive Insight Report (the economic business case). The methodology of the field studies and the economic simulations is fully documented and available for review on request.
You will receive both documents as part of a needs assessment or a structured pilot.