AI systematic review PRISMA flow diagram narrative
Use AI to draft the narrative companion to a PRISMA flow diagram showing exclusions at each stage.
11 min · Reviewed 2026
The premise
AI can convert screening logs into a PRISMA narrative that explains exclusions at each stage with reasons traceable to the protocol.
What AI does well here
Tabulate inclusions and exclusions stage by stage with reason codes
Cross-reference reasons to the prospective protocol
Draft a transparent statement on records lost or unrecoverable
What AI cannot do
Decide which records to exclude
Override a reviewer disagreement
Substitute for the second reviewer's screen
End-of-lesson check
15 questions · take it digitally for instant feedback at tendril.neural-forge.io/learn/quiz/end-research-ai-systematic-review-prisma-flow-narrative-creators
A researcher wants to use AI to help document a systematic review. What is the primary task AI performs when creating a PRISMA narrative?
AI automatically searches databases and retrieves new studies
AI decides which studies meet inclusion criteria based on title and abstract
AI converts screening log data into a written explanation of how many records remained at each stage
AI resolves disagreements between two human reviewers about study eligibility
According to the systematic review workflow, at which stage should reason codes be attached to excluded records?
During the protocol design phase
At the time of each exclusion decision
After the narrative is written
Only when the final report is drafted
A screening log contains 15 records marked as excluded but with no reason code listed. How should the PRISMA narrative handle these?
Mark them as [missing reason] as specified for undocumented exclusions
Exclude them from the narrative entirely since they lack documentation
Assume the most common reason code from other exclusions
List them under a generic 'other reasons' category
Two reviewers independently screened the same 200 abstracts. They disagreed on whether 12 studies should be included. What role can AI play in resolving this?
AI can make the final decision since it analyzed both sets of abstracts
AI can suggest a compromise but a human must confirm the final decision
AI can act as a third reviewer and break the tie automatically
AI can override the disagreement and include both sets of results
What does it mean for exclusion reasons to be 'traceable to the protocol'?
Each exclusion reason corresponds to a pre-specified criterion in the review protocol
The reasons are written in the final published paper
Reviewers can trace which AI generated each reason code
The protocol is stored in the same folder as the screening log
Which statement describes a limitation of using AI in systematic review documentation?
AI automatically generates new exclusion criteria not in the protocol
AI might miscategorize a borderline exclusion and classify it incorrectly
AI cannot process more than 100 records at once
AI requires internet access to function during screening
In a PRISMA flow diagram, what do the stage-by-stage counts represent?
The number of records identified, screened, assessed for eligibility, and included in the review
The number of databases searched
The number of reviewers working at each stage
The number of articles cited in each section of the paper
A researcher asks AI to generate the PRISMA narrative while the screening is still in progress. What is the concern with this approach?
It violates copyright rules for systematic reviews
The final counts may change, requiring narrative revisions
AI will include studies that were later excluded
AI cannot generate text until all screening is complete
What distinguishes the AI's role from a second reviewer in systematic review screening?
AI screens records that the first reviewer already approved
AI and the second reviewer perform identical functions
AI assists with drafting the narrative while the second reviewer verifies inclusion decisions
AI can screen faster so it replaces the second reviewer entirely
Why is it important to document records that are 'lost' or 'unrecoverable' in a systematic review?
It demonstrates that the researchers worked hard to find all studies
It allows the AI to learn from its mistakes
It satisfies journal submission requirements
It provides transparency about potential selection bias from missing data
When AI generates a PRISMA narrative, what input does it require from the researchers?
A completed protocol with pre-specified exclusion criteria
The full text of all potentially relevant articles
A list of conclusions from similar previous reviews
The names of all team members involved
What information should be included in a PRISMA narrative about the identification stage?
A summary of the study designs found in the search
The names of databases searched and the total number of records identified
The full citation for every article retrieved
The number of reviewers who conducted the search
If an AI-generated PRISMA narrative shows that 80% of exclusions at the eligibility stage were marked with [missing reason], what should researchers do?
Publish the narrative as-is since AI generated it
Replace missing reasons with the most common reason code
Investigate why reason codes were not consistently applied during screening
Delete all exclusions without reason codes from the dataset
What is the purpose of having a prospective protocol in a systematic review?
To satisfy journal requirements for publication
To allow researchers to change exclusion criteria as needed
To pre-specify criteria so decisions are not made after seeing results
To give AI something to reference when generating narratives
During the eligibility stage (full-text assessment), a study is borderline for an exclusion criterion. How should this be handled in the PRISMA narrative?
It should be included to avoid conflict with the AI narrative
AI will automatically categorize it correctly based on its training
It should be documented with the specific criterion it was assessed against and the resolution
It should be excluded by default to be conservative