The healthcare system is changing continuously, and these changes can benefit the systems and at times can cause distress related to an increase in acuity of patients, decrease in staff, evolving diseases and limited resources. Adverse events can cause stress for the staff that participated in the event, such as an increase in moral distress and a decrease in work satisfaction. This systematic review will review five studies on how debriefing after an adverse event can decrease moral distress which will decrease the likelihood of the participant becoming the second victim phenomenon