Junior doctors embrace digital medical record technology

junior doctors at a desk discussing BOSSnew technology
FSH junior doctors Rowan Ellis and Rachael Stokes have embraced the BOSSnet technology.
April 1, 2016

Once a digital medical record (DMR) skeptic, Fiona Stanley Hospital junior doctor Rachael Stokes now finds it hard to imagine working without it.

The DMR program, BOSSnet, allows allied health staff, nurses, and doctors to enter details into a patient’s digital medical record, read previous admissions and outpatient notes, access some procedure and investigation results and add patients to an after-hours ‘patients of concern list’.

Rachael said the DMR improved communication across disciplines within the hospital.

“The DMR has removed the legibility of doctors’ hand-writing as a barrier to inter-disciplinary communication. Multiple staff can access patient files simultaneously, and it allows emergency and admitting doctors immediate access to specialist’s outpatient clinic notes,” she said.

Rowan Ellis was drawn to Fiona Stanley as he wanted to work at a hospital with DMR technology.

"BOSSnet was deployed at FSH in a ‘big bang’ moment, with hundreds of people having to adapt overnight to a completely new way of working. It was a very steep learning curve with a lot of discomfort when paper workflows became electronic, but I believe that we are now seeing the benefits that a DMR like BOSSnet can bring to a hospital,” Rowan said.

As ICT Liaison for the Stanley Medical Officers’ Society, Rowan said he was encouraged by the commitment to continually improving the current systems.

“This year, major projects have included deep-linking BOSSnet with other applications used at the hospital. I hope that this will lead to improvements in workflow and user experience,” he said.

Both Rachael and Rowan acknowledge that it has not always been easy going, with many challenges in the first year with the new technology.

“Whilst by no means flawless, as junior doctors we are slowly coming to appreciate the very real benefits of pursuing the enigma of a ‘paperless hospital’,” Rachael said.

“Going back to paper now would feel like a step back in time,” Rowan added.

Did you know?

The latest data from BOSSnet shows FSH staff are relying more on technology and less on paper. Now more than 60 per cent of documents created at FSH are electronic.


The data shows:

  • 87 000 documents are viewed on BOSSnet each day
  • 5 700 eforms are submitted each day
  • There are more than 1 300 individual users each day
  • Users view an average of 67 documents a day
  • BOSSnet at FSH holds 7 million documents with 19.3 million pages stored