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AimThe aim of this article is to explore whether ambulance clinicians in Sweden perceive their working environment to be safe.MethodTwenty four ambulance nurses and nine paramedics at five ambulance stations in urban and rural areas of Sweden were interviewed.FindingsAfter transcripts of the interviews had been analysed, nine issues that affect how participants perceive the safety of patient care in ambulances emerged: planning before departure; use of safety belts; driving at high speeds; patient first, safety second; equipment design and placement; noise; driving styles; presence of relatives; documentation.ConclusionAmbulance personnel should have greater involvement in the design of ambulance care spaces and drivers should be given more regular training.Björn-Ove Suserud and colleagues discuss ways to enhance the safety of patients and emergency clinicians in ambulances

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