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.
As the only full service health care system and Level II trauma center in the region, United Regional sees approximately 75,000 patients in the emergency room each year, or 200 to 300 patients per day, depending upon the time of year.