Because this is a unidimensional scaling method, it is assumed that the concept you want to measure is one-dimensional in nature. You might operationalize the definition as an instruction to the people who are going to create or generate the initial set of candidate items for your scale. Generating the Items.
Additional requirements for Level 1 designation: Level 1 Trauma Centers provide the highest level of trauma care to critically ill or injured patients. Seriously injured patients have an increased survival rate of 25% in comparison to those not treated at a Level 1 center.
The trauma care system is a network of definitive care facilities. that provides a spectrum of care for all injured patients. In an area with adequate Level I. resources, it may not be necessary to have Level II centers. Similarly, when Level I and II. centers can provide care for the volume of trauma patients in the region, Level III centers. may not be necessary.