When I make eps file of PRISMA flow diagram in RevMan, a high resolution tiff file is not generated from that eps file. However, for other files such as forest plot of risk of bias tables, such problem does not occur.
You could also download GIMP (http://www.gimp.org/downloads/) which is a free software that can do many things to your image including improving the quality/resolution. I always use it and find it great especially when peer-reviewed journals look for high-quality images.