Traditional transportation safety frameworks like the three Es (Engineering, Enforcement, and Education) are impeding strategies that will reduce traffic deaths and improve overall population health, says a new study. The study introduces the Safe Systems Pyramid, a framing of the Safe Systems approach designed to prioritize policies and programs that incorporate health principles into transportation decision making. By combining public health efforts with transportation strategies and practices, the authors propose an alternative approach that moves away from identifying crash outcomes and toward addressing the causes of safety crises., the authors propose an alternative approach away from identifying crash outcomes and toward addressing the causes of safety crises.