Forty-six technicians employed by an ambulance and life flight service were surveyed to examine the effects of organization-based self-esteem (OBSE) on career outcomes and quality. Results show that those high in OBSE reported stronger career commitment and weaker career withdrawal intentions than those low in OBSE. Contrary to predictions, significant differences were not found for career satisfaction and career tenure. However, there was a significant difference between the high and low groups on the import of quality. Those low in OBSE tended to devalue quality as compared to those high in OBSE. A post hoc analysis was conducted to offer insight into which aspects of quality were important to the high OBSE group.