The pack is four sheets, four documents and one rule. The sheets hold the record. A deduplication register separates deleted matches from merged ones, and a screening log carries both screeners' decisions with a reason on every exclusion. A counts sheet checks each subtraction, and the extraction table holds what the included studies say. The documents hold the output: the protocol, the criteria with their borderline cases, the flow, and the study selection paragraph. The rule is that no count is typed.
Every sheet ships filled in for one illustrative review of pharmacist-led medication review and adherence. It runs 5,128 records identified down to 3,383 screened, 241 reports sought, 223 assessed and 18 studies included, and each of those four subtractions is printed in the sheet next to the number it produced. Cohen's kappa between the two screeners is 0.782 on 100 disagreements, of which 43 resolved toward inclusion, which is 18 per cent of everything retrieved.
The same review tallied by hand reports 1,398 removed before screening instead of 1,745, 223 assessed as 241, and 25 included studies instead of 18, with one exclusion reason missing from the diagram. Four identities, four failures, 384 records misstated, and not one figure that looks wrong on its own. Open the pack in River and the flow is regenerated from the log. Or download the sheets and run the checks yourself, starting from a search you documented as you ran it.
PRISMA Systematic Review Template