Abstract
Overcrowding in emergency rooms is a complex problem that requires innovative solutions. This article explores the causes of overcrowding and the measures taken to address it in Italy, with a focus on the Lombardy Region. Strategies include improving the appropriateness of access, creating specialized networks, optimizing facilities, and collaboration between hospitals and the territory. The goal is to provide a more efficient and patient-centered emergency service, reducing improper access and optimizing medical care outcomes.