RegisterHotKey in the Windows API allows you to register a global hotkey. You will also need to use GlobalAddAtom to get a unique hotkey identifier. See this link for more details .
Private Declare Function RegisterHotKey Lib "user32" (ByVal hwnd As Long, ByVal id As Long, ByVal fsModifiers As Long, ByVal vk As Long) As Long
Private Declare Function GlobalAddAtom Lib "kernel32" Alias "GlobalAddAtomA" (ByVal lpString As String) As Integer
Private Const WM_HOTKEY As Long = &H312
Private Const MOD_WIN As Long = &H8
m_lHotkey = GlobalAddAtom("MyHotkey")
Call RegisterHotKey(Me.hwnd, m_lHotkey, MOD_WIN, vbKeyO)
Then you just need to listen to the WM_HOTKEY message in your window.
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