Vision Zero: Evolution History and Developing Trend in Road Safety: A Scoping Review

Document Type : Systematic Review


1 Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran

5 Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Karolinska Institutet, Huddinge, Sweden


Background: Vision Zero is a public policy approach that aims to achieve a road traffic system with no fatalities or serious injuries caused by road traffic crashes (RTCs).
Objective: This study aimed to investigate the history of Vision Zero's evolution and trends in road safety worldwide.
Methods: This scoping review was conducted based on the Arksey and O’Malley and the Joanna Briggs Institute framework. This framework consists of five steps: research question identification; identifying relevant studies; selection of study; data charting; gathering, summarizing, and reporting the results.
Results: Finally, 37 articles met the inclusion criteria. The trending of deaths caused by RTCs in the countries implementing Vision Zero shows a decline. There is an intercountry variation with the most substantial decrease in Sweden.
Conclusion: Vision Zero has had an evolutionary development in many countries. Due to the significant impact of the implementation of Vision Zero, many countries are seeking to adopt or implement this approach. Although there are some challenges in implementing Vision Zero in different countries but based on its philosophy, there is a growing rate for implementing it in different settings.


Volume 25, Issue 6
November and December 2020
Pages 275-286
  • Receive Date: 21 August 2020
  • Revise Date: 11 November 2020
  • Accept Date: 22 November 2020