SECURE is a UK-wide, multi-centre, prospective service evaluation, conducted in all eligible NHS hospitals across the UK. The aim is to characterise in-hospital RSIs in adult patients across NHS hospitals in the UK.

The study will comprise three phases between March and July 2026:

1. Site survey: of RSI resources: infrastructure, equipment and governance.

2. Activity survey: of user-defined RSI events and immediate complications over a 14 day period.

3. Vignette-based practitioner survey: of individual self-reported RSI practice.

Objectives

• Describe the availability of local resources surrounding RSI events.

• Capture contemporary clinical practice around RSI events performed across all areas of the hospital by cross-specialty intubating teams.

• Describe and estimate the incidence of immediate complications of RSI events.

• Identify the drivers of variation in self-reported RSI practice across vignettes.

• Review the findings across the UK (resources, self-reported practice and observed practice) in comparison to current RSI recommendations.

You can find more information here.