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Analysis of data on road accidents collected from different sources brings forth important characteristics related to the nature of accidents. Based on this, the fatality index (FI) is defined as the ratio of fatalities to injuries in accidents. An increase in FI is indicative of fatalities in accidents. High FI is observed to correlate positively with difficult terrain, slow response and poor medical facilities. FI therefore represents an important indicator for planning initiatives to reduce fatalities related to road accidents.

In alignment with the European Union’s Vision Zero initiative to eliminate road fatalities by 2050, leveraging technological advancements becomes crucial for addressing the challenges of vulnerable road users (VRUs), and for mitigating the impact of human error. Despite increasing scholarly interest in applications of extended reality (XR), a research gap persists, particularly in the role of XR in transportation safety. Therefore, the aim of the study was to fill this gap through a systematic literature review to evaluate comprehensively the potential scope and practical applicability of XR technologies in enhancing the safety of VRUs.

A systematic review was undertaken, following PRISMA guidelines meticulously, in which 80 relevant articles from databases, such as Scopus and Science Direct, were identified and analysed.

The results of the analysis revealed the potential of XR beyond pedestrians and cyclists, and highlighted a lack of research about the impact of XR with regard to the personal traits or abilities of VRUs. The results of a thorough analysis confirmed the potential of XR as a promising solution for an approach to collaborative co-creation in addressing the safety challenges of VRUs. In addition, the integration of eye-tracking with virtual reality emerged as a promising innovation for enhancing the safety of vulnerable road users.

Theoretical implications include enhancing the understanding of applications of XR in VRUs’ safety and providing insights into future research possibilities and methodological approaches. Valuable insights into search strategies and inclusion-exclusion criteria can guide future research methodologies.

Practically, the findings from the study offer insights to assist urban planners and transportation authorities in incorporating XR technologies effectively for VRUs safety. Identifying areas for further development of XR technology could inspire innovation and investment in solutions designed to meet the safety needs of VRUs, such as enhanced visualisation tools and immersive training simulations.

The findings of previous research underscore the vast potential of XR technologies within the built environment, yet their utilisation remains limited in the urban transport sector. The intricacies of urban traffic scenarios pose significant challenges for VRUs, making participation in mobility studies hazardous. Hence, it is crucial to explore the scope of emerging technologies in addressing VRUs issues as a pre-requisite for establishing comprehensive safety measures.

Pedestrian injuries and deaths should be viewed as a critical public health issue. The purpose of this chapter is to show how incorporating safety from traffic into broader efforts to increase walking and physical activity has the potential to have a significant health impact. In this chapter we provide an overview of pedestrian safety considerations having to do with population health and the built environment. The chapter is organised around a conceptual framework that highlights the multiple pathways through which safe walking environments can contribute to improved population health. We review the existing literature on pedestrian safety and public health. Pedestrian safety will remain a vexing challenge for public health and transportation professionals in the coming decades. But addressing this problem on multiple fronts and across multiple sectors is necessary to reduce injuries and fatalities and to unleash the full potential of walking to improve population health through increased physical activity. This chapter uniquely contributes a conceptual framework for understanding the relationship between the walking environment and public health.

The purpose of this study is to investigate the influence of institutional dynamics on road accidents and whether this relationship is moderated by information and communication technology (ICT).

The study adopted a quantitative approach with 133 respondents. Research hypotheses were tested in AMOS version 21. In addition, moderated regression analysis was used to test the moderating role of ICT on the relationship between institutional dynamics and road accidents.

The results show that vehicle maintenance, policy enforcement, safety culture, driver training and driver management positively influence road accidents. Moreover, the study established that ICT moderates the relationship between institutional dynamics and road accidents.

The results of this study serve as a practical guideline for policymakers in the road haulage sector. Managers may gain insights on how to design effective interventions to reduce road accidents.

This research contributes to the existing body of knowledge by exploring previously unexplored moderating paths in the relationship between institutional dynamics and road accidents. By highlighting the moderating role of ICT, the study sheds new light on the institutional dynamics that influence road accidents in the context of road haulage companies.