When carrying out a systematic review, it's important to conduct a very thorough search which includes sources other than traditional databases like Medline or CINAHL. There are a variety of methods used to finding other relevant unpublished papers and reports not included in traditional bibliographic databases, such as:
It's important to keep a record of these other sources used, as well as your search terms, in order to properly document the search process.
Further reading on some of these issues can be found in the Cochrane Handbook or the Centre for Reviews and Dissemination's guidance on systematic reviews.