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.
CLEVELAND, Ohio -- MetroHealth Medical Center is still treating a majority of Cleveland's trauma patients, but the number transported to the hospital system has dropped nearly 25 percent since University Hospitals opened an adult Level 1 trauma center last year, according to data from the two organizations.