It's pretty easy to construct a story about cannabis use decreasing fatal accidents with their statistics fwiw.
They report fatal accidents for the periods 1999-2002, 2003-2006 and 2007-2010. Over those 3 periods, dead drivers tested positive for alcohol at a more or less constant rate overall (the rate for BAC >= .08 increased over the 3 periods), tested at an increasing rate for cannabinol, narcotics, depressants and "other". Positive tests for stimulant use went up from the first period to the second period, and then down from the second period to third period.
Fatal accidents (where the dead drivers were tested, using data from only 6 states) went up 14% from the first period to the second period (7667 to 8764), and then down 18% from the second period to the third (8764 to 7159).
Suppose that there is a subset of the population that is both on average more reckless in their driving (and/or in general) AND more likely to consume drugs (a pretty plausible story...there are few crazies who aren't ****ed up whenever possible). Suppose that this subset of people substituted their stimulants with weed between the second and third periods, perhaps, at least in part, due to medicinal laws. One could conclude (not that they should, of course) that this substitution led to the decrease in fatal accidents...
These authors would get eaten alive presenting this garbage to an audience with even a half decent empirical background. The standard for publication in medical journals seems to be ridiculously low.